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Search › Idaho › Podiatrist

Timothy Black, DPM

NPI 1578753091 · on the registry since 2007

Practice

Address
3652 Washington Pkwy
Idaho Falls, ID 83404
Phone
(208) 528-8700
Fax
(208) 528-2802
Organisation at this address
Orange, Llc
Orange Llc.
Carmen Hernandez Radford
Ascend Chiropractic Pllc
Mountain Crest Foot And Ankle Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Podiatrist
213E00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-10-31
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho