Individual
JILL DENISE VEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3430 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7579
(208) 523-3060
(208) 523-0028
Mailing address
3430 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7579
(208) 523-3060
(208) 523-0028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
3729A
WY
208000000X
Pediatrics Physician
53037
OH
208000000X
Pediatrics Physician
Primary
M5357
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010003484
BLUE SHIELD
ID
05
—
003990000
—
ID
05
—
0117429
—
MT
05
—
110703800
—
WY
05
—
1285786046
—
WY
01
—
53579
BLUE CROSS
ID
Enumeration date
08/19/2006
Last updated
09/10/2009
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