JASON RYAN GREENHALGH

TWIN FALLS, ID
NPI1952478703
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: ID  M-11276)
Additional Taxonomies208800000X Urology
(Licence: IA  R-7693)
Enumeration Date2006-11-29
Last Update Date2014-12-29
Business Address
Dr. JASON RYAN GREENHALGH M.D.
775 POLE LINE RD W SUITE 301
TWIN FALLS, ID 83301-5814
Phone number: 208-814-8700
Mailing Address
Dr. JASON RYAN GREENHALGH M.D.
PO BOX 587
TWIN FALLS, ID 83303-0587
Phone number: 208-814-7400
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