Organization
MAGIC VALLEY FOOT AND ANKLE SPECIALISTS PLLC
Active
Other names
Caleb Edwin Roberts Sole Mbr
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB ROBERTS DPM (OWNER)
(208) 709-1700
Entity
Organization
Contact information
Practice address
496 SHOUP AVE W, TWIN FALLS, ID 83301-5834
(208) 709-1700
Mailing address
496 SHOUP AVE W, TWIN FALLS, ID 83301-5834
(208) 709-1700
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
CS35833
ID
Other
Enumeration date
04/21/2014
Last updated
07/02/2014
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