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MAGIC VALLEY FOOT AND ANKLE SPECIALISTS PLLC NPI 1609296326


NPI Information

NPI: 1609296326
Provider Name: MAGIC VALLEY FOOT AND ANKLE SPECIALISTS PLLC

Doing Business As: CALEB EDWIN ROBERTS SOLE MBR

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
496 SHOUP AVE W
TWIN FALLS, ID
ZIP 83301
Phone: (208) 709-1700
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MAGIC VALLEY FOOT AND ANKLE SPECIALISTS PLLC is a foot and ankle surgery podiatrist in Twin Falls, ID. MAGIC VALLEY FOOT AND ANKLE SPECIALISTS PLLC NPI is 1609296326. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Caleb Edwin Roberts Sole Mbr.

The provider's business location address is:

496 SHOUP AVE W
TWIN FALLS, ID
ZIP 83301-834
Phone: (208) 709-1700

The provider's authorized official is Caleb Roberts .
The authorized official title is Owner and has the following contact phone number (208) 709-1700.

The enumeration date for this NPI number is 4/21/2014 and was last updated on 7/2/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryCS35833IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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