person
Mr. Ryan Kenneth Averett, DPM
Podiatrist in Coeur D Alene, Idaho
NPI 1629065610

Ryan Kenneth Averett is a Podiatrist based in Coeur D Alene, ID. Ryan Kenneth Averett practices in Coeur D Alene, ID and has the professional credentials of DPM. The NPI Number for Ryan Kenneth Averett is 1629065610 and holds a License No. P177 (Idaho).

The current practice location address for Ryan Kenneth Averett is 2221 N Ironwood Center Dr, Coeur D Alene, ID and can be reached out via phone at 208-667-3585 and via fax at 855-864-8364.

Location: 2221 N Ironwood Center Dr, Coeur D Alene, ID, 83814-2697
person
Provider Profile Details
NPI Number
1629065610
Provider Name
Ryan Kenneth Averett
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2221 N Ironwood Center Dr, Coeur D Alene, ID, 83814-2697
Phone Number
208-667-3585
Fax Number
855-864-8364
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806936200 05 ID
P2451 01 BLUE CROSS OF IDAHO
000010147409 01 ID REGENCE BLUE SHIELD
1351085 01 ID MEDICARE
institution
Provider Business Practice Location Address Details
Address
2221 N Ironwood Center Dr
City
State
Zip
83814-2697
Phone Number
208-667-3585
Fax Number
855-864-8364
person
Provider Business Mailing Address Details
Address
2221 N Ironwood Center Dr
City
State
Zip
83814-2697
Phone Number
208-667-3585
Fax Number
855-864-8364
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
P177 (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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