OrganizationActive
Treasure Valley Foot and Ankle
NPI 1083261697 · Foot & Ankle Surgery Podiatrist · Meridian, ID
Provider details
- NPI number
- 1083261697
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Clark Johnson, President(208) 546-9548
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
3120 W Belltower Dr Ste 100
Meridian, ID 83646-7744
Phone: (208) 516-3617
Fax: (208) 314-2029
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 268
Bountiful, UT 84011-0268
Registry dates
- Enumerated
- 2019-08-20
- Last updated
- 2019-12-16
- Certified
- 2019-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.