RYAN AVERETT DPM PC NPI 1679514186

NPI Information

RYAN AVERETT DPM PC is a foot and ankle surgery podiatrist in Coeur D Alene, ID. RYAN AVERETT DPM PC NPI is 1679514186. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2221 W IRONWOOD CENTER DR
COEUR D ALENE, ID
ZIP 83814-697
Phone: (208) 667-3585
Fax: (855) 864-8364

The provider's authorized official is Ryan Kenneth Averett .
The authorized official title is President and has the following contact phone number (208) 661-0295.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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