OrganizationActive
Blackfoot Medical Clinic Surgeons
NPI 1740580794 · Surgery Physician · Blackfoot, ID
Provider details
- NPI number
- 1740580794
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Blackfoot Medical Clinic Inc
- Organization subpart
- Yes
- Authorized official
- Kerry Casperson, Administrator(208) 785-2600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1441 Parkway Dr
Blackfoot, ID 83221-1667
Phone: (208) 785-2600
Approximate (ZIP-level) locationGet directions
Mailing address
1441 Parkway Dr
Blackfoot, ID 83221-1667
Registry dates
- Enumerated
- 2010-10-25
- Last updated
- 2010-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.