OrganizationActive
Creswell Foot & Ankle Surgery
NPI 1699508929 · Podiatrist · Wallace, ID
Provider details
- NPI number
- 1699508929
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Jimmy Price, Credentialing Coordinator(832) 277-6870
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
610 Cedar St
Wallace, ID 83873-2233
Phone: (208) 784-8777
Fax: (208) 784-3533
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 483
Smelterville, ID 83868-0483
Registry dates
- Enumerated
- 2024-08-22
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.