| Erik S Jones Do Pllc | |
|
222 N 2nd St Suite 202 Boise ID 83702-6109 | |
| (208) 344-6080 | |
| (208) 344-6079 |
| Full Name | Erik S Jones Do Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 222 N 2nd St, Boise, Idaho |
| Authorized Official Name and Position | Erik S Jones (OWNER) |
| Authorized Official Contact | 2083446080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erik S Jones Do Pllc 222 N 2nd St Suite 202 Boise ID 83702-6109 Ph: (208) 344-6080 | Erik S Jones Do Pllc 222 N 2nd St Suite 202 Boise ID 83702-6109 Ph: (208) 344-6080 |
| NPI Number | 1336323039 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 08/03/2009 |
| Medicare PECOS PAC ID | 4183691058 |
|---|---|
| Medicare Enrollment ID | O20090831000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336323039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Erik S Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679538466 PECOS PAC ID: 8921080250 Enrollment ID: I20040602000239 |
| Provider Name | Laci M Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558905653 PECOS PAC ID: 1456786490 Enrollment ID: I20200121000568 |
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