Individual
JEFFREY STEVEN BANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6259 W EMERALD ST, BOISE, ID 83704-8731
(208) 489-1900
Mailing address
6259 W EMERALD ST, BOISE, ID 83704-8731
(208) 489-1900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10117254-1205
UT
207RG0100X
Gastroenterology Physician
Primary
M15636
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
UT
Other
Enumeration date
03/31/2015
Last updated
09/07/2022
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