Individual
JEFFREY CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MRO-1924
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
05/15/2020
Last updated
04/27/2023
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