David K Croshaw is a Podiatrist in Pocatello, Idaho. David K Croshaw practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for David K Croshaw is 1518949684. The last update date is 2011-09-28.
David K Croshaw's current location address is 1155 Pocatello Creek Rd, Pocatello, Idaho. You can contact this provider via phone number 2082320006 and fax number 2082338771. The mailing address for David K Croshaw is 1155 Pocatello Creek Rd, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David K Croshaw |
|---|---|
| Address | 1155 Pocatello Creek Rd, Pocatello, Idaho |
| Phone Number | 2082320006 |
| Fax Number | 2082338771 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1518949684 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2011-09-28 |
Provider Mailing Address Detail
| Address | 1155 Pocatello Creek Rd |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832012949 |
| Phone Number | 2082320006 |
| Fax Number | 2082338771 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | P92 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806000 | ID | -- |
Post Comment/ Review Below
What is the David K Croshaw's 1518949684?
The David K Croshaw's NPI (National Provider Identifier) Number is 1518949684. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of David K Croshaw?
The David K Croshaw is situated at 1155 Pocatello Creek Rd, in the city of Pocatello, state of ID, with the zip code 832012949.
What is the David K Croshaw's area of specialization and corresponding taxonomy classification?
The David K Croshaw's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
On what date did the David K Croshaw receive its 1518949684 assignment from the Centers for Medicare & Medicaid Services?
The David K Croshaw was assigned its 1518949684 by the Centers for Medicare & Medicaid Services on 2005-11-15.
As of what date were the details related to David K Croshaw most recently updated or revised?
The information pertaining to David K Croshaw, including its address, specialty, and other relevant details, was last updated or revised on 2011-09-28.