Individual
JORDAN D KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CST
Contact information
Practice address
333 N 1ST ST, STE 280, BOISE, ID 83702-6100
(208) 345-6545
(208) 345-1213
Mailing address
333 N 1ST ST, STE 280, BOISE, ID 83702-6100
(208) 345-6545
(208) 345-1213
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
89506
ID
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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