MAGIC VALLEY FOOT AND ANKLE SPECIALISTS PLLC; NPI #1609296326

Contact Information

MAGIC VALLEY FOOT AND ANKLE SPECIALISTS PLLC

496 SHOUP AVE W
TWIN FALLS, ID 83301-5834

Phone: 208-709-1700
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for MAGIC VALLEY FOOT AND ANKLE SPECIALISTS PLLC

NPI # 1609296326

LBN Legal business name MAGIC VALLEY FOOT AND ANKLE SPECIALISTS PLLC

Authorized official CALEB ROBERTS - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/21/2014

Last updated 07/02/2014 - About 12 years ago

Identifiers

License #

CS35833

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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MAGIC VALLEY FOOT AND ANKLE SPECIALISTS PLLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for MAGIC VALLEY FOOT AND ANKLE SPECIALISTS PLLC

Reviews for MAGIC VALLEY FOOT AND ANKLE SPECIALISTS PLLC