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Individual

JEFFREY JAMES GENATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
801 POLE LINE RD W STE 2595B, TWIN FALLS, ID 83301-5810
(208) 814-2462
(208) 814-2925
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
4471382
ID
208M00000X
Hospitalist Physician
L4388
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1545907-06
TX
Enumeration date
04/12/2006
Last updated
12/03/2025
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