Individual
JAYSON SCOPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
338 E BANNOCK ST, BOISE, ID 83712-6207
(208) 336-0895
Mailing address
5976 W VENETIAN DR, EAGLE, ID 83616-7439
(801) 336-6727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-915A
ID
Other
Enumeration date
06/20/2014
Last updated
02/17/2021
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