Doctor Name: | RONALD W ALM |
NPI Number: | 1033105275 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | P127 |
Business Practice Address: | 803 16th Ave Lewiston, ID - 835013733 |
Business Phone Number: | 2087432091 |
Business Fax Number: | 2087435444 |
Mailing Address: | 803 16th Ave, LEWISTON |
State: | ID |
Postal Code: | 835013733 |
Phone Number: | 2087432091 |
Fax Number: | 2087435444 |
NPI Enumeration Date: | 09/22/2005 |
NPI Last Update Date: | 09/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/24/2006 |
NPI Reactivation Date: | 04/05/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | P127 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |