OrganizationActive
Pocatello Podiatry Associates PA
NPI 1912194085 · Foot & Ankle Surgery Podiatrist · Pocatello, ID
Provider details
- NPI number
- 1912194085
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Koree Godfrey, Credentialing(208) 233-4355
- License
- P-82 (ID)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1555 E Clark St
Pocatello, ID 83201-4133
Phone: (208) 233-4355
Fax: (208) 233-7198
Approximate (ZIP-level) locationGet directions
Mailing address
1555 E Clark St
Pocatello, ID 83201-4133
Other names (DBA / former)
- Doing business as
- Ambulatory Foot and Ankle Clinic
- Other name
- Ambulatory Foot and Ankle Clinic
- Other name
- Ambulatory Foot and Ankle Clinic
Registry dates
- Enumerated
- 2007-10-02
- Last updated
- 2021-03-18
- Certified
- 2021-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.