Individual
WESLEY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5966 W CURTISIAN AVE, BOISE, ID 83704-8801
(208) 302-5470
(208) 302-5455
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6020950-1204
UT
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
O-1405
ID
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
6020950-1204
UT
Other
Enumeration date
06/05/2014
Last updated
12/05/2023
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