Individual
JONATHAN J VAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6165 W EMERALD ST, BOISE, ID 83704-8613
(208) 302-3500
(208) 302-3555
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
O-1744
ID
207X00000X
Orthopaedic Surgery Physician
Primary
OP60941927
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194137968
—
WA
Enumeration date
05/28/2014
Last updated
10/17/2022
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