Individual
DR. SARAH A JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
703 N 1ST ST, MCCALL, ID 83638-3851
(208) 630-3023
(208) 634-2174
Mailing address
PO BOX 1332, MCCALL, ID 83638-1332
(208) 630-3023
(208) 634-4766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
O-140
ID
207RC0000X
Cardiovascular Disease Physician
Primary
O-140
ID
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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