Back to Search
TIMOTHY BLACK, DPM
DPM
Podiatrist
NPI: 1578753091IndividualAccepts Medicare
Specialties, Licenses & Credentials
PodiatristPrimary
Podiatrist
Code: 213E00000X
P-169(ID)
CMS Specialties
PrimaryPODIATRY
Education
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Class of 2000
Contact & Hours
- Address
- 3652 WASHINGTON PKWY
IDAHO FALLS, ID 83404 - Phone
- (208) 528-8700
Quick Facts
- NPI
- 1578753091
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 26
Are you this provider?
Claim Your Profile