institution
Canyon Foot & Ankle Specialists Pc
Podiatric Clinic/Center in Twin Falls, Idaho
NPI 1811180615

Canyon Foot & Ankle Specialists Pc is a Podiatric Clinic/Center based in Twin Falls, ID and is specialized in Podiatric. Canyon Foot & Ankle Specialists Pc practices in Twin Falls, ID. The NPI Number for Canyon Foot & Ankle Specialists Pc is 1811180615 and holds a License No. P-187 (Idaho).

The current practice location address for Canyon Foot & Ankle Specialists Pc is 676 Shoup Ave W, Twin Falls, ID and can be reached out via phone at 208-733-0436 and via fax at 208-733-0438.

Location: 676 Shoup Ave W, Twin Falls, ID, 83303
institution
Provider Profile Details
NPI Number
1811180615
Provider Name
Canyon Foot & Ankle Specialists Pc
Credential
Provider Entity Type
Organization
Address
676 Shoup Ave W, Twin Falls, ID, 83303
Phone Number
208-733-0436
Fax Number
208-733-0438
Provider Enumeration Date
08/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807346000 05 ID
1369188 01 ID MEDICARE PROVIDER
D08608980 01 MEDICARE DME SUBITTER ID
P-2428 01 ID BLUE CROSS
P2427 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
676 Shoup Ave W
City
State
Zip
83301-4615
Phone Number
208-733-0436
Fax Number
208-733-0438
person
Provider Business Mailing Address Details
Address
676 Shoup Ave W
City
State
Zip
83301-4615
Phone Number
208-733-0436
Fax Number
208-733-0438
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
P-187 (Idaho)
Definition
Definition to come...
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