DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PHILIP D JENSEN M.D.

MEDICARE: PHILIP D JENSEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianM-8875ID

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00256600OTHERIDRAILROAD MEDICARE

General Provider Information

NPI Number : 1134114713
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP D JENSEN M.D.
Provider Business Mailing Address
First Line : 425 W BANNOCK ST
Second Line :
City : BOISE
State : ID
Zip : 83702-6035
Country : US
Telephone Number : 208-343-1702
Fax Number : 208-342-7042
Provider Business Practice Location Address
First Line : 425 W BANNOCK ST
Second Line :
City : BOISE
State : ID
Zip : 83702-6035
Country : US
Telephone Number : 208-343-6458
Fax Number : 208-343-5031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 07/19/2019

Similar Medicare Providers

1275145047 — LEAH MULDOON NP
Practice Location Address:
425 W BANNOCK ST
BOISE, ID
83702-6035
Practice Phone: 208-343-6458
Practice Fax:
1265427256 — IDAHO GASTROENTEROLOGY ASSOCIATES, LLP
Practice Location Address:
425 W BANNOCK ST
BOISE, ID
83702-6035
Practice Phone: 208-343-1702
Practice Fax: 208-342-7042
1184619165 — PAUL H BAEHR M.D.
Practice Location Address:
425 W BANNOCK ST
BOISE, ID
83702-6035
Practice Phone: 208-343-1702
Practice Fax: 208-342-7042
1114912102 — BOISE ENDOSCOPY CENTER, LLC
Practice Location Address:
425 W BANNOCK ST
BOISE, ID
83702-6035
Practice Phone: 208-342-7169
Practice Fax: 208-368-0863
1174518740 — ELLEN B HUNTER M.D.
Practice Location Address:
425 W BANNOCK ST
BOISE, ID
83702-6035
Practice Phone: 208-343-1702
Practice Fax: 208-342-7042
1083609663 — RICHARD F UHLMANN M.D.
Practice Location Address:
425 W BANNOCK ST
BOISE, ID
83702-6035
Practice Phone: 208-343-1702
Practice Fax: 208-342-7042

Directions to “ PHILIP D JENSEN M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.