Individual
DR. JENNIFER CHUN-BRODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 205-7282
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
46005
AZ
207Q00000X
Family Medicine Physician
A124733
CA
207Q00000X
Family Medicine Physician
Primary
M-16722
ID
Other
Enumeration date
07/08/2010
Last updated
09/12/2022
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