Organization
CRAIG D HOLMAN CHARTERED
Active
Other names
Magic Valley Foot & Ankle Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG D HOLMAN DPM (OWNER)
(208) 734-7676
Entity
Organization
Contact information
Practice address
496 SHOUP AVE W # B, TWIN FALLS, ID 83301-5043
(208) 734-7676
(208) 736-8378
Mailing address
496 SHOUP AVE W # B, TWIN FALLS, ID 83301-5043
(208) 734-7676
(208) 736-8378
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P119
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010152611
REGENCE BLUE SHIELD OF ID
ID
01
—
185440600
US DEPT OF LABOR
ID
01
—
4134570001
DMERC
ID
01
—
480031477
RAILROAD MEDICARE
ID
01
—
P9343
BLUE CROSS OF IDAHO
ID
Enumeration date
05/21/2007
Last updated
06/21/2018
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