JEFFREY KYLE LONGNION

BOISE, ID
NPI1588891428
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207LP2900X Anesthesiology, Pain Medicine
(Licence: NC  2014-00510)
Additional Taxonomies207L00000X Anesthesiology
(Licence: NC  2014-00510)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC  157536)
Enumeration Date2009-06-18
Last Update Date2016-02-05
Business Address
-- JEFFREY KYLE LONGNION MD
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
-- JEFFREY KYLE LONGNION MD
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000