Individual
DAVID JOSEPH JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
625 POLE LINE RD W STE 1A, TWIN FALLS, ID 83301-4269
(208) 814-5250
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-7400
(208) 814-7491
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
O-0415
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807557800
—
ID
01
—
P00744682
MCRR
ID
Enumeration date
05/16/2006
Last updated
04/18/2019
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