JORDAN CHRISTOPHER SOUTAS

BOISE, ID
NPI1730717265
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: ID  1871388)
Enumeration Date2020-03-30
Last Update Date2026-01-08
Business Address
JORDAN CHRISTOPHER SOUTAS DO
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-2121
Mailing Address
JORDAN CHRISTOPHER SOUTAS DO
877 W MAIN ST STE 603
BOISE, ID 83702-6070
Phone number: 208-954-8070
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