Individual
DR. JUAN TRINIDAD CEJA SOLORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3399 E LOUISE DR STE 200, MERIDIAN, ID 83642-5212
(208) 706-2663
(208) 489-4300
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P-293
ID
213ES0103X
Foot & Ankle Surgery Podiatrist
POD22011
NM
Other
Enumeration date
05/08/2020
Last updated
08/04/2024
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