Individual
JEAN U BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
305 E JEFFERSON ST, BOISE, ID 83712-6273
(208) 381-7336
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
M9028
ID
Other
Enumeration date
06/16/2006
Last updated
08/27/2019
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