institution
Craig D Holman Chartered
Podiatrist in Twin Falls, Idaho
NPI 1609085455

Craig D Holman Chartered is a Podiatrist based in Twin Falls, ID. Craig D Holman Chartered practices in Twin Falls, ID. The NPI Number for Craig D Holman Chartered is 1609085455 and holds a License No. P119 (Idaho).

The current practice location address for Craig D Holman Chartered is 496 Shoup Ave W # B, Twin Falls, ID and can be reached out via phone at 208-734-7676 and via fax at 208-736-8378.

Location: 496 Shoup Ave W # B, Twin Falls, ID, 83301-5043
institution
Provider Profile Details
NPI Number
1609085455
Provider Name
Craig D Holman Chartered
Credential
Provider Entity Type
Organization
Address
496 Shoup Ave W # B, Twin Falls, ID, 83301-5043
Phone Number
208-734-7676
Fax Number
208-736-8378
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
185440600 01 ID US DEPT OF LABOR
4134570001 01 ID DMERC
480031477 01 ID RAILROAD MEDICARE
000010152611 01 ID REGENCE BLUE SHIELD OF ID
P9343 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
496 Shoup Ave W # B
City
State
Zip
83301-5043
Phone Number
208-734-7676
Fax Number
208-736-8378
person
Provider Business Mailing Address Details
Address
496 Shoup Ave W # B
City
State
Zip
83301-5043
Phone Number
208-734-7676
Fax Number
208-736-8378
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
P119 (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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