Organization · Type 2 NPI

Riverside Foot and Ankle, PLLC

Foot & Ankle Surgery Podiatrist · Boise, ID

NPI number 1992600126 Active

Practice location

671 E Riverpark Ln Ste 110
Boise, ID 83706-4000

Mailing address

10400 W Overland Rd
Boise, ID 83709-1433

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1992600126

Riverside Foot and Ankle, PLLC's National Provider Identifier is 1992600126, issued on Oct 8, 2026. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Boise, ID. The record was last updated on Oct 8, 2026.