Individual
DR. AVERY JEFFERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44 N. 1ST E., ATTN: COLLEEN JENSEN, PRESTON, ID 83263-1326
(208) 852-3662
(208) 852-1295
Mailing address
44 N 1ST E, PRESTON, ID 83263-1326
(208) 852-3662
(208) 852-1295
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-13287
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386083764
—
ID
01
—
M-13287
MEDICAL LICENSE
ID
Enumeration date
06/19/2013
Last updated
07/05/2018
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