Individual
JEFFRY P MENZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 S AMERICANA BLVD, SUITE 120, BOISE, ID 83702-5099
(208) 323-2600
(208) 375-2419
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 323-2600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M7573
ID
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
M-7573
ID
207XX0801X
Orthopaedic Trauma Physician
M-7573
ID
Other
Enumeration date
05/17/2006
Last updated
10/17/2013
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