| Magic Valley Foot & Ankle Specialist | |
|
496 Shoup Ave W # B, Twin Falls, ID 83301-5043 | |
| (208) 734-7676 | |
| (208) 736-8378 |
| Full Name | Magic Valley Foot & Ankle Specialist |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 496 Shoup Ave W # B, Twin Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609085455 | NPI | - | NPPES |
| 185440600 | Other | ID | US DEPT OF LABOR |
| 4134570001 | Other | ID | DMERC |
| 480031477 | Other | ID | RAILROAD MEDICARE |
| 000010152611 | Other | ID | REGENCE BLUE SHIELD OF ID |
| P9343 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | P119 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Magic Valley Foot & Ankle Specialist 496 Shoup Ave W # B, Twin Falls, ID 83301-5043 Ph: (208) 734-7676 | Magic Valley Foot & Ankle Specialist 496 Shoup Ave W # B, Twin Falls, ID 83301-5043 Ph: (208) 734-7676 |
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: 714 N College Rd, Suite A, Twin Falls, ID 83301 Phone: 208-814-7150 Fax: 208-814-7170 | |
South Idaho Foot And Ankle Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 191 Addison Ave, Twin Falls, ID 83301 Phone: 208-733-3881 Fax: 208-734-8441 | |
Advanced Foot & Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 176 Falls Ave Ste 200, Twin Falls, ID 83301 Phone: 208-731-6321 Fax: 208-944-0430 | |
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 |