OrganizationActive
Eastern Idaho Foot Clinic
NPI 1225365992 · Durable Medical Equipment & Medical Supplies · Idaho Falls, ID
Provider details
- NPI number
- 1225365992
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Jerry Cooper, Owner(208) 523-2928
- License
- P126 (ID)
Specialties & taxonomies
Suppliers
Practice location
2565 Channing Way
Idaho Falls, ID 83404-7516
Phone: (208) 523-2928
Fax: (208) 523-2962
Approximate (ZIP-level) locationGet directions
Mailing address
2565 Channing Way
Idaho Falls, ID 83404-7516
Registry dates
- Enumerated
- 2009-11-17
- Last updated
- 2009-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.