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Organization
PIONEER FAMILY MEDICINE PLLC
Active
Organization
PIONEER FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SCOTT LUDWIG DO (OWNER)
(208) 938-3663
Entity
Organization
Contact information
Practice address
4740 N. PENNGROVE WAY, STE. 100, MERIDIAN, ID 83646
(208) 938-3663
(208) 938-3664
Mailing address
4740 N. PENNGROVE WAY, STE. 100, MERIDIAN, ID 83646
(208) 938-3663
(208) 938-3664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-253
ID
Other
Enumeration date
07/10/2006
Last updated
08/23/2019
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