Individual
MR. JEFFREY HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 N 2ND ST STE 103, BOISE, ID 83702-6081
(208) 381-4700
(208) 381-4977
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1071299
ID
Other
Enumeration date
04/11/2023
Last updated
01/05/2026
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