Individual
MR. CALVIN THOMAS JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N 1ST ST, SUITE 120, BOISE, ID 83702-6100
(208) 381-7190
(208) 381-7191
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-7190
(208) 381-7191
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M4006
ID
Other
Enumeration date
11/13/2007
Last updated
02/17/2011
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