person
Dr. Timothy Roger Black, DPM
Podiatrist in Idaho Falls, Idaho
NPI 1578753091

Timothy Roger Black is a Podiatrist based in Idaho Falls, ID. Timothy Roger Black practices in Idaho Falls, ID and has the professional credentials of DPM. The NPI Number for Timothy Roger Black is 1578753091 and holds a License No. P-169 (Idaho).

The current practice location address for Timothy Roger Black is 3652 Washington Pkwy, Idaho Falls, ID and can be reached out via phone at 208-528-8700 and via fax at 208-528-2802. You can also correspond with Timothy Roger Black through the mailing address at 1628 ELK CREEK DR, IDAHO FALLS, ID - 83404-8349 (mailing address contact number: 208-528-8700).

Location: 3652 Washington Pkwy, Idaho Falls, ID, 83404-8349
person
Provider Profile Details
NPI Number
1578753091
Provider Name
Timothy Roger Black
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3652 Washington Pkwy, Idaho Falls, ID, 83404-8349
Phone Number
208-528-8700
Fax Number
208-528-2802
Provider Enumeration Date
07/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3652 Washington Pkwy
City
State
Zip
83404-7573
Phone Number
208-528-8700
Fax Number
208-528-2802
person
Provider Business Mailing Address Details
Address
3652 Washington Pkwy
City
State
Zip
83404-7573
Phone Number
208-528-8700
Fax Number
208-528-2802
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
P-169 (Idaho)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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