Individual
ALAN JOEL JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3360 WASHINGTON PKWY, SUITE 2, IDAHO FALLS, ID 83404-8332
(208) 528-8170
(208) 552-5461
Mailing address
3425 POTOMAC WAY, SUITE 2, IDAHO FALLS, ID 83404-4970
(208) 528-8170
(208) 552-5461
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-925
ID
Other
Enumeration date
09/09/2011
Last updated
04/25/2016
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