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Individual

MR. ZACHARIAH JON JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
711 N CURTIS RD, BOISE, ID 83706-1445
(208) 605-3000
Mailing address
PO BOX 8111, BOISE, ID 83707-2111

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
12884
SD
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
0102205792
VA
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
12884
SD
208100000X
Physical Medicine & Rehabilitation Physician
O-1779
ID

Other

Enumeration date
03/22/2018
Last updated
01/02/2026
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