MOUNTAIN CREST FOOT AND ANKLE PA
Podiatry at Washington Pkwy, Idaho Falls, ID

License number
Idaho P-169
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. TIMOTHY ROGER BLACK DPM
Title: OWNER/PHYSICIAN
Phone: (208) 528-8700
Address
Address
3652 Washington Pkwy, Idaho Falls, ID 83404
National Provider ID: 1932191996
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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