Individual
JASON GENE CHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1000
Mailing address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(694) 364-2674
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
M-17854
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2019
Last updated
08/13/2024
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