Individual
JASON LEE HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO CANDIDATE 2019
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-7350
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
O-1864
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/08/2019
Last updated
07/07/2023
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