Individual provider · Type 1 NPI
John J. Mytych, D.P.M.
Foot & Ankle Surgery Podiatrist · Coeur D Alene, ID
NPI number
1457452476
Active
Practice location
2120 W Ironwood Center Dr
Coeur D Alene, ID 83814-2639
Fax (208) 625-6945
Mailing address
280 S Main St
Bountiful, UT 84010-6236
Other practice locations
- 2159 S 700 E Ste 150, Salt Lake City, UT 84106-2279 · (801) 466-1333
- 962 Chambers St, Ogden, UT 84403-5087 · (801) 373-2499
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 10140276-0501 (UT) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 3271756 (ID) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016005082 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
4 other providers at this address
- David Bryan Gierut, APRNGerontology Nurse Practitioner Coeur D Alene, ID NPI 1790140937
- Jennifer Rae Stallings, NPNurse Practitioner Coeur D Alene, ID NPI 1780253989
- Melanie Enderwick, MDInfectious Disease Physician Coeur D Alene, ID NPI 1891977278
- Sean Tristan Lawrence Cook, DOInfectious Disease Physician Coeur D Alene, ID NPI 1083811475
Other foot & ankle surgery podiatrist providers in Coeur D Alene
- Michael J. Drager, DPMFoot & Ankle Surgery Podiatrist Coeur D Alene, ID NPI 1326042045
- Christopher Butler, D.P.M.Foot & Ankle Surgery Podiatrist Coeur D Alene, ID NPI 1659590677
- Cory A. Johnson, DPMFoot & Ankle Surgery Podiatrist Coeur D Alene, ID NPI 1730665837
- Orlando E. Nunez, DPM, MDFoot & Ankle Surgery Podiatrist Coeur D Alene, ID NPI 1821274259
About NPI 1457452476
John J. Mytych, D.P.M.'s National Provider Identifier is 1457452476, issued on Sep 25, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jun 17, 2025.