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Organization

TRANSFORMATIONS IDAHO PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY R JACOMS MD (SOLE MEMBER)
(208) 639-7300
Entity
Organization

Contact information

Practice address
2857 S MERIDIAN RD, 100, MERIDIAN, ID 83642-7960
(208) 639-7300
(208) 287-8330
Mailing address
2857 S MERIDIAN RD, 100, MERIDIAN, ID 83642-7960
(208) 639-7300
(208) 287-8330

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary

Other

Enumeration date
09/15/2015
Last updated
09/15/2015
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