# WEST JEFFERSON FAMILY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295951382
- **Authorized official:** BRETT W ZUNDEL PA-C (OWNER/PROVIDER)
- **Authorized official phone:** (208) 419-6423

## Contact information

- **Practice address:** 39 N. 8TH W, SAINT ANTHONY, ID 83445
- **Practice address phone:** (208) 419-6423
- **Practice address fax:** (208) 379-3520
- **Mailing address:** 39 N. 8TH W, SAINT ANTHONY, ID 83445
- **Mailing address phone:** (208) 419-6423
- **Mailing address fax:** (208) 379-3520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | ID-197 | ID | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 02/17/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010006458 | BLUE SHIELD | ID |
| 05 | — | 805130800 | — | ID |
| 01 | — | PAYL7 | BLUE CROSS | ID |