Individual
JAY M TINGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-6269
Mailing address
PO BOX 94289, MS 631130, SEATTLE, WA 98124-6589
(866) 487-0277
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M-5834
ID
207L00000X
Anesthesiology Physician
M5834
ID
Other
Enumeration date
06/26/2006
Last updated
01/17/2020
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