Individual
DR. JORDAN D. NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706
(208) 367-7350
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642
(208) 367-7350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M-13838
ID
208M00000X
Hospitalist Physician
Primary
M-13838
ID
Other
Enumeration date
03/31/2014
Last updated
12/05/2019
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