Individual
JADEN JUERGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2730 CHANNING WAY, IDAHO FALLS, ID 83404-5049
(208) 542-7100
Mailing address
2899 BYBEE DR, OGDEN, UT 84403-5388
(801) 941-7515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2272
ID
Other
Enumeration date
01/11/2022
Last updated
02/13/2023
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