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NPI Code Detail

MEDICARE: BLACKMER PODIATRY

MEDICARE: BLACKMER PODIATRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist

General Provider Information

NPI Number : 1265389472
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLACKMER PODIATRY
Provider Business Mailing Address
First Line : 3080 E GENTRY WAY STE 201
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-3013
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3080 E GENTRY WAY STE 201
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-3013
Country : US
Telephone Number : 208-605-3662
Fax Number :
Authorized Official
Title or Position : CREDENTIALING DIRECTOR
Name : JULIE READ
Credential :
Telephone Number : 208-605-3662
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “BLACKMER PODIATRY ” Practice Location

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