Individual
JEFFREY B. SYMMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6140 W CURTISIAN, SUITE 300, BOISE, ID 83704
(208) 367-7787
(208) 367-7798
Mailing address
3340 EAST GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
M5182
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003956300
—
ID
01
—
020029312
RR MEDICARE
—
Enumeration date
05/08/2006
Last updated
02/04/2010
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