Individual
JASON CHRISTOPHER JOYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1955 FREMONT AVE, IDAHO FALLS, ID 83402-1510
(208) 526-2356
Mailing address
1955 FREMONT AVE, IDAHO FALLS, ID 83402-1510
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA381
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010152510
REGENCE BLUE SHIELD
ID
05
—
806925200
—
ID
01
—
P00269933
RAILROAD RETIREMENT BOARD
ID
01
—
PAZQ5
BLUE CROSS BLUE SHIELD
ID
Enumeration date
03/14/2006
Last updated
05/02/2012
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