DR. TIMOTHY BLACK, DPM

Podiatrist

Active Individual
NPI: 1578753091

Practice Address

3652 WASHINGTON PKWY
Idaho Falls, ID 83404

Phone: (208) 528-8700

Specialties

Specialty Code Primary License
Podiatrist 213E00000X Yes P-169 (ID)

Frequently Asked Questions

NPI 1578753091 is the National Provider Identifier for DR. TIMOTHY BLACK, DPM, a Podiatrist provider located in Idaho Falls, ID. This NPI was enumerated on July 31, 2007.
DR. TIMOTHY BLACK, DPM practices at 3652 WASHINGTON PKWY, Idaho Falls, ID 83404.

Quick Facts

NPI
1578753091
Type
Individual
Enumerated
Jul 31, 2007
Last Updated
Oct 31, 2017

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