IndividualActive
John Mytych, D.P.M.
NPI 1457452476 · Foot & Ankle Surgery Podiatrist · Coeur D Alene, ID
Provider details
- NPI number
- 1457452476
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- 10140276-0501 (UT)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
2120 W Ironwood Center Dr
Coeur D Alene, ID 83814-2639
Phone: (208) 625-6944
Fax: (208) 625-6945
Approximate (ZIP-level) locationGet directions
Mailing address
280 S Main St
Bountiful, UT 84010-6236
Additional practice locations (2)
- 962 Chambers StOgden, UT 84403-5087Phone: (801) 373-2499Fax: (801) 373-5200
- 2159 S 700 E Ste 150Salt Lake City, UT 84106-2279Phone: (801) 466-1333Fax: (801) 466-6601
Registry dates
- Enumerated
- 2006-09-25
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.