Individual
PAUL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1906 FAIRVIEW AVE STE 350, CALDWELL, ID 83605-5425
(208) 454-9181
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M-16790
ID
208800000X
Urology Physician
PG205281
OR
Other
Enumeration date
02/10/2014
Last updated
08/23/2022
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