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Contact Information

CRESWELL FOOT & ANKLE SURGERY
610 CEDAR ST
WALLACE, ID83873-2233
 Phone: 208-784-8777
 Fax: 208-784-3533
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CRESWELL FOOT ANKLE SURGERY · (Female)

NPI # 1699508929
Status Active
Credentials
Entity Individual
Enumeration date 08/22/2024
Last updated 03/09/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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