Individual
JOSHUA CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6051 W EMERALD ST, BOISE, ID 83704
(208) 302-5100
(208) 302-5155
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642
(208) 302-5100
(208) 302-5155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-1183
ID
207Q00000X
Family Medicine Physician
OL60557910
WA
Other
Enumeration date
03/18/2015
Last updated
09/05/2018
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