JORDAN CLAY CHAPMAN

POCATELLO, ID
NPI1851885420
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: ID  58921)
Enumeration Date2018-06-18
Last Update Date2018-06-18
Business Address
JORDAN CLAY CHAPMAN NP
777 HOSPITAL WAY OFC BLDG
POCATELLO, ID 83201-2797
Phone number: 208-239-1960
Mailing Address
JORDAN CLAY CHAPMAN NP
777 HOSPITAL WAY OFC BLDG
POCATELLO, ID 83201-2797
Phone number: