MATT JORDAN

BOISE, ID
NPI1447617139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1677A)
Enumeration Date2016-01-26
Last Update Date2024-08-06
Business Address
MATT JORDAN NP-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-385-3230
Mailing Address
MATT JORDAN NP-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-8752
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