Individual
JASEN E CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2190 VILLAGE PARK AVE STE 100, TWIN FALLS, ID 83301-5939
(208) 733-0436
Mailing address
2190 VILLAGE PARK AVE STE 100, TWIN FALLS, ID 83301-5939
(208) 733-0436
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P-292
ID
Other
Enumeration date
04/30/2021
Last updated
06/25/2024
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