Individual
ANNE JORDAN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2235
Mailing address
20 YORK STREET, YNHH - TOMPKINS 226, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-17230
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/22/2018
Last updated
07/05/2023
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