| South Idaho Foot And Ankle Clinic | |
|
191 Addison Ave, Twin Falls, ID 83301-5177 | |
| (208) 733-3881 | |
| (208) 734-8441 |
| Full Name | South Idaho Foot And Ankle Clinic |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 191 Addison Ave, 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 |
|---|---|---|---|
| 1295890648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Jason B Devries |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952592404 PECOS PAC ID: 2466545850 Enrollment ID: I20070830000802 |
| Provider Name | David A Blackmer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396847125 PECOS PAC ID: 1759289697 Enrollment ID: I20100630000276 |
| Mailing Address | Practice Location Address |
|---|---|
| South Idaho Foot And Ankle Clinic Po Box 16820, Boise, ID 83715-6820 Ph: (208) 323-9130 | South Idaho Foot And Ankle Clinic 191 Addison Ave, Twin Falls, ID 83301-5177 Ph: (208) 733-3881 |
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 | |
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 | |
Magic Valley Foot & Ankle Specialist Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 496 Shoup Ave W # B, Twin Falls, ID 83301 Phone: 208-734-7676 Fax: 208-736-8378 |