Organization
WEST JEFFERSON FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT W ZUNDEL PA-C (OWNER/PROVIDER)
(208) 419-6423
Entity
Organization
Contact information
Practice address
39 N. 8TH W, SAINT ANTHONY, ID 83445
(208) 419-6423
(208) 379-3520
Mailing address
39 N. 8TH W, SAINT ANTHONY, ID 83445
(208) 419-6423
(208) 379-3520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
ID-197
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006458
BLUE SHIELD
ID
05
—
805130800
—
ID
01
—
PAYL7
BLUE CROSS
ID
Enumeration date
04/17/2007
Last updated
02/17/2026
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