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496 Shoup Ave W, Twin Falls, ID 83301-5834 | |
(208) 709-1700 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 496 Shoup Ave W, Twin Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609296326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | CS35833 (Idaho) | Primary |
Provider Name | Caleb Edwin Roberts |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1699062638 PECOS PAC ID: 4183843857 Enrollment ID: I20140911000013 |
Mailing Address | Practice Location Address |
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496 Shoup Ave W, Twin Falls, ID 83301-5834 Ph: (208) 709-1700 | 496 Shoup Ave W, Twin Falls, ID 83301-5834 Ph: (208) 709-1700 |
Dr. Craig D Holman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 496 Shoup Ave W Ste B, Twin Falls, ID 83301 Phone: 208-734-7676 Fax: 208-736-8378 | |
Daniel Matthew Wettstein, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 476 Cheney Drive West, Twin Falls, ID 83301 Phone: 208-731-6321 Fax: 801-475-5286 | |
Dr. Randal Lee Wraalstad, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 762 N College Rd Ste A, Twin Falls, ID 83301 Phone: 208-814-7150 Fax: 208-814-7170 | |
David A Blackmer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 191 Addison Ave, Twin Falls, ID 83301 Phone: 208-733-3881 Fax: 208-733-8441 | |