Organization
BARBARA J JENSEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J JENSEN M.D. (OWNER)
(208) 734-3356
Entity
Organization
Contact information
Practice address
526 SHOUP AVE W STE B, TWIN FALLS, ID 83301-5050
(208) 734-3356
(208) 733-9463
Mailing address
PO BOX 1657, TWIN FALLS, ID 83303-1657
(208) 734-3356
(208) 733-9463
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
M6246
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002536800
—
ID
Enumeration date
09/14/2007
Last updated
12/21/2011
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