Individual
JENNIFER E BIGGERSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1880 W JUDITH LANE, BOISE, ID 83705-3185
(208) 302-5200
(208) 302-5225
Mailing address
3340 EAST GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-5200
(208) 302-5225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-11002
ID
Other
Enumeration date
07/03/2007
Last updated
11/07/2016
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