Individual
DR. JEFFREY A PEWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1305 S FIVE MILE RD, BOISE, ID 83709-1306
(208) 327-0066
(208) 378-9864
Mailing address
1305 S FIVE MILE RD, BOISE, ID 83709-1306
(208) 327-0066
(208) 378-9864
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-489
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689696650
MEDICARE GROUP NPI
ID
Enumeration date
08/20/2008
Last updated
08/20/2008
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