DAVIS JORDON EVERTON

NAMPA, ID
NPI1992498497
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2509)
Enumeration Date2023-05-31
Last Update Date2023-12-08
Business Address
DAVIS JORDON EVERTON PA
1115 12TH AVE RD
NAMPA, ID 83686-5738
Phone number: 208-498-1080
Mailing Address
DAVIS JORDON EVERTON PA
PO BOX 191050
BOISE, ID 83719-1050
Phone number:
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