NPI 1679514186

Ryan Averett DPM PC

Organisation Foot & Ankle Surgery Podiatrist Coeur D Alene, ID

Practice location

Address: 2221 W Ironwood Center Dr, Coeur D Alene, ID 83814-2697
Phone: (208) 667-3585
Fax: (855) 864-8364
Mailing address: 1118 N 4th St, Coeur D Alene, ID 83814-3217

Authorised official

Name: Ryan Kenneth Averett
Title: President
Phone: (208) 661-0295

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence P177 (ID)

Other Podiatrist providers in Idaho →

Registry record

NPI: 1679514186
Entity type: Organization
NPI issued: 8 Jun 2006
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.