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Individual

DR. JARED ANDERSON CHUGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-2161
(208) 367-2989
Mailing address
PO BOX 9649, BOISE, ID 83707-4649
(208) 472-8100
(208) 471-8162

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01058095A
IN
2085R0202X
Diagnostic Radiology Physician
10128A
WY
2085R0202X
Diagnostic Radiology Physician
12448
NV
2085R0202X
Diagnostic Radiology Physician
129014
CA
2085R0202X
Diagnostic Radiology Physician
Primary
M-12877
ID

Other

Enumeration date
10/02/2006
Last updated
10/11/2016
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