Individual
JEFFREY RYAN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
143 E MAIN ST, JEROME, ID 83338-2332
(208) 324-7007
Mailing address
592 TRAVELERS WAY, TWIN FALLS, ID 83301-7872
(208) 539-9862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4530
ID
Other
Enumeration date
06/22/2012
Last updated
09/17/2019
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