IndividualActive
Richard Allen, DPM
NPI 1093717787 · Foot & Ankle Surgery Podiatrist · Lewiston, ID
Provider details
- NPI number
- 1093717787
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- P-143 (ID)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1630 23rd Ave
Suite 1001
Lewiston, ID 83501-6350
Phone: (208) 743-3688
Fax: (208) 743-5162
Approximate (ZIP-level) locationGet directions
Mailing address
1630 23rd Ave
Lewiston, ID 83501-6350
Registry dates
- Enumerated
- 2005-08-11
- Last updated
- 2007-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.