Individual
MS. JORDAN RUTH DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
229 S 7TH ST STE 300, ST MARIES, ID 83861-1803
(208) 245-2591
(208) 245-5246
Mailing address
229 S 7TH ST, ST MARIES, ID 83861-1803
(208) 245-5551
(208) 245-5246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1505
ID
Other
Enumeration date
11/09/2016
Last updated
11/11/2024
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