Individual
JONI ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 158, PAGE, NE 68766-0158
(402) 338-5901
Mailing address
50489 872ND RD, PAGE, NE 68766-5505
(402) 340-0924
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
12620
NE
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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