Organization
CRESWELL FOOT & ANKLE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY PRICE (CREDENTIALING COORDINATOR)
(832) 277-6870
Entity
Organization
Contact information
Practice address
610 CEDAR ST, WALLACE, ID 83873-2233
(208) 784-8777
(208) 784-3533
Mailing address
PO BOX 483, SMELTERVILLE, ID 83868-0483
(801) 550-4051
(208) 784-8777
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
03/09/2026
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