| Ryan Averett Dpm Pc | |
| 2221 W Ironwood Center Dr, Coeur D Alene, ID 83814-2697 | |
| (208) 667-3585 | |
| (855) 864-8364 | 
| Full Name | Ryan Averett Dpm Pc | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 2221 W Ironwood Center Dr, Coeur D Alene, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679514186 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | P177 (Idaho) | Primary | 
| Provider Name | Ryan Averett | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1629065610 PECOS PAC ID: 0042202228 Enrollment ID: I20040929000645 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ryan Averett Dpm Pc 1118 N 4th St, Coeur D Alene, ID 83814-3217 Ph: (208) 667-3585 | Ryan Averett Dpm Pc 2221 W Ironwood Center Dr, Coeur D Alene, ID 83814-2697 Ph: (208) 667-3585 | 
| Northwest Physicians And Surgeons Podiatrist Medicare: Medicare Enrolled Practice Location: 850 W Ironwood Dr Ste 301, Coeur D Alene, ID 83814 Phone: 208-667-9762 Fax: 208-765-1041 | |
| Coeur D' Alene Foot & Ankle Clinic Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 101 W Ironwood Dr, Suite 131, Coeur D Alene, ID 83814 Phone: 208-666-0605 Fax: 208-666-0916 | |
| Dr. Michael J Drager, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 850 W Ironwood Dr, Ste 301, Coeur D Alene, ID 83814 Phone: 208-667-9762 Fax: 208-765-1041 | |
| Christopher Butler Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 2221 N Ironwood Center Dr, Coeur D Alene, ID 83814 Phone: 208-667-3585 Fax: 866-433-2607 | |
| John J Mytych, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2120 W Ironwood Center Dr, Coeur D Alene, ID 83814 Phone: 208-625-6944 Fax: 208-625-6945 | |
| Mr. Ryan Kenneth Averett, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2221 N Ironwood Center Dr, Coeur D Alene, ID 83814 Phone: 208-667-3585 Fax: 855-864-8364 | |
| Christopher Butler, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2221 N Ironwood Center Dr, Coeur D Alene, ID 83814 Phone: 208-667-3585 Fax: 866-433-2607 |