Individual
RONALD W ALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1955 E MARISOL ST, KUNA, ID 83634-5161
(208) 305-6414
Mailing address
1955 E MARISOL ST, KUNA, ID 83634-5161
(208) 305-6414
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
P127
ID
213ES0131X
Foot Surgery Podiatrist
P127
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013290
—
ID
01
—
0064483
L&I
WA
01
—
1048552
WASHINGTON MEDICAID
WA
Enumeration date
09/22/2005
Last updated
02/17/2025
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