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Individual

JASON HALVERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
261 CANYON CREST DR STE 100, TWIN FALLS, ID 83301-5924
(208) 733-5300
Mailing address
261 CANYON CREST DR STE 100, TWIN FALLS, ID 83301-5924
(208) 733-5300

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M-9806
ID

Other

Enumeration date
05/19/2006
Last updated
04/24/2023
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