JAMESON BASTOW

JEROME, ID
NPI1639791361
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  MRO-1922)
Enumeration Date2020-05-15
Last Update Date2020-05-15
Business Address
JAMESON BASTOW DO
132 5TH AVE W STE 2
JEROME, ID 83338-1825
Phone number: 208-814-9800
Mailing Address
JAMESON BASTOW DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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