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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

NPI # 1699508929
LBN Legal business name CRESWELL FOOT & ANKLE SURGERY
Authorized official JIMMY PRICE - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/22/2024
Last updated 03/09/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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