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Individual

DR. JEFFREY GLENN HESSING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8854 W EMERALD ST, SUITE 140, BOISE, ID 83704-4844
(208) 327-4790
(208) 367-4888
Mailing address
8854 W EMERALD ST, STE 140, BOISE, ID 83704-4845
(208) 321-4790
(208) 321-4836

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M4907
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010005805
REGENCE BLUE SHIELD
ID
05
003748000
ID
01
49072
BLUE CROSS
ID
01
P00297173
TRAVELERS MEDICARE
ID
Enumeration date
05/11/2006
Last updated
10/18/2018
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