Individual
DR. JEFFREY L. CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
222 N 2ND ST, STE 301, BOISE, ID 83702-6131
(208) 344-3324
(208) 344-4349
Mailing address
222 N 2ND ST, STE 301, BOISE, ID 83702-6131
(208) 344-3324
(208) 344-4349
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P-73
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003517000
—
ID
01
—
480033367
RAILROAD MEDICARE
ID
Enumeration date
11/25/2005
Last updated
12/26/2008
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