Individual
DR. PERRY A. JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
13307 MIAMI LN, CALDWELL, ID 83607-4701
(208) 455-5300
(208) 454-7722
Mailing address
13307 MIAMI LN, CALDWELL, ID 83607-4701
(208) 455-5300
(208) 454-7722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-13453
ID
Other
Enumeration date
09/27/2011
Last updated
04/13/2023
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