JORDAN T HAMMON

POCATELLO, ID
NPI1518532464
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  MRO-2043)
Enumeration Date2021-05-24
Last Update Date2024-08-07
Business Address
JORDAN T HAMMON DO
1951 BENCH RD STE B
POCATELLO, ID 83201-2073
Phone number: 208-238-1000
Mailing Address
JORDAN T HAMMON DO
1951 BENCH RD
POCATELLO, ID 83201-2013
Phone number: 208-238-1000
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