IndividualActive
Jasen Chandler, DPM
NPI 1659954378 · Podiatrist · Twin Falls, ID
Provider details
- NPI number
- 1659954378
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- P-292 (ID)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
2190 Village Park Ave Ste 100
Twin Falls, ID 83301-5939
Phone: (208) 733-0436
Approximate (ZIP-level) locationGet directions
Mailing address
2190 Village Park Ave Ste 100
Twin Falls, ID 83301-5939
Registry dates
- Enumerated
- 2021-04-30
- Last updated
- 2024-06-25
- Certified
- 2024-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.