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JONATHAN JO MD

Individual Provider (NPI-1) Active

Radiology, Vascular & Interventional Radiology

Provider Information

NPI Number
1225418361
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
801 POLE LINE RD W, TWIN FALLS, ID, 833015799
Phone
(208) 814-1500

Specialties & Taxonomies

Radiology, Diagnostic Radiology License: WA #MD61199843
Radiology, Vascular & Interventional Radiology License: OR #MD206381
Radiology, Vascular & Interventional Radiology Primary License: ID #M-17471

All Addresses

MAILING

190 E BANNOCK ST

BOISE, ID, 837126241

(208) 381-8866

LOCATION

801 POLE LINE RD W

TWIN FALLS, ID, 833015799

(208) 814-1500