Organization
JARRELL PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A JARRELL IV MD (MEMBER)
(208) 810-2245
Entity
Organization
Contact information
Practice address
3090 E GENTRY WAY STE 210, MERIDIAN, ID 83642-3550
(208) 810-2245
(208) 947-3465
Mailing address
PO BOX 4885, BOISE, ID 83711-4885
(208) 810-2245
(208) 947-3465
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
03/24/2020
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