Individual
DR. JOCELYN RAE IDEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
470 JOHNSON ROAD, SUITE 210, WASHINGTON, PA 15301-8936
(412) 206-6770
(724) 941-5027
Mailing address
470 JOHNSON ROAD, SUITE 210, WASHINGTON, PA 15301-8936
(412) 206-6770
(724) 941-5027
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
005444
AZ
207X00000X
Orthopaedic Surgery Physician
0102202966
VA
207X00000X
Orthopaedic Surgery Physician
Primary
OS017370
PA
207X00000X
Orthopaedic Surgery Physician
OT012308
PA
207XS0117X
Orthopaedic Surgery of the Spine Physician
OS017370
PA
Other
Enumeration date
06/14/2007
Last updated
09/06/2023
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