Individual
DR. CHANG HOON JEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSOM, MPH, DHS, PHD
Contact information
Practice address
2235 S. BROADWAY AVE., 190, BOISE, ID 83706
(208) 901-1956
Mailing address
2235 S BROADWAY AVE, BOISE, ID 83706-4617
(208) 901-1956
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-276
ID
Other
Enumeration date
10/29/2009
Last updated
03/16/2012
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