Jaime Weidner

NPI #1013896505 in Pocatello, Idaho

Provider Information

NPI Number: 1013896505
Entity Type: Individual
Name: Jaime Weidner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Aug 28, 2025
Last Updated: Aug 28, 2025

Practice Location

Address: 151 N 3RD AVE STE 330
City: Pocatello
State: Idaho
ZIP Code: 83201-6369
Phone: (208) 242-3771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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