Individual
DUSTIN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2475 MESA ST, IDAHO FALLS, ID 83401-3312
(208) 521-3443
(208) 522-6630
Mailing address
2475 MESA ST, IDAHO FALLS, ID 83401-3312
(208) 521-3443
(208) 522-6630
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
671277
ID
Other
Enumeration date
09/23/2016
Last updated
02/10/2017
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