PAUL JONES
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1013331172- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1906 FAIRVIEW AVE STE 350, CALDWELL, ID, 836055425
- Phone
- (208) 454-9181
Specialties & Taxonomies
Urology
Primary License: ID #M-16790
Urology
License: OR #PG205281
All Addresses
MAILING
190 E BANNOCK ST
BOISE, ID, 837126241