Valley Foot & Ankle, Pc

LBN: Valley Foot & Ankle, Pc
Valley Foot & Ankle, Pc is an health care organization with primary practice located at 1455 Bench Rd Ste B , Pocatello ID 83201-5084. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Valley Foot & Ankle, Pc can be contacted via phone (208) 232-0006, or through Wilde, Brandon Dean via phone (208) 232-0006.

Contact Information

Primary practice address
1455 Bench Rd Ste B Pocatello ID 83201-5084
Phone: (208) 232-0006
Fax: (208) 232-0006
Website:
Map and Directions
Authorized official contact:
Name: Wilde, Brandon Dean Doctor of Podiatric Medicine (DPM)
Phone: (208) 232-0006

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P92 Idaho

Profile Details

NPI number 1669516738
LBN Legal business name Valley Foot & Ankle, Pc
DBA Doing business as
Authorized official Wilde, Brandon Dean Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Mar 17th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669516738 NPPES
Idaho MEDICAID 000806000
Idaho MEDICAID 804267100
Idaho MEDICAID 806528400

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