IndividualActive
Ryan Averett, D.P.M.
NPI 1629065610 · Podiatrist · Coeur D Alene, ID
Provider details
- NPI number
- 1629065610
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- P177 (ID)
Practice location
2221 N Ironwood Center Dr
Coeur D Alene, ID 83814-2697
Phone: (208) 667-3585
Fax: (855) 864-8364
Mailing address
2221 N Ironwood Center Dr
Coeur D Alene, ID 83814-2697
Registry dates
- Enumerated
- 2005-10-04
- Last updated
- 2016-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.