Jonathon C Wolf MD Pllc

NPI #1174377386 in Meridian, Idaho

Provider Information

NPI Number: 1174377386
Entity Type: Organization
Organization Name: Jonathon C Wolf MD Pllc
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Apr 15, 2024
Last Updated: Apr 15, 2024

Practice Location

Address: 875 S VANGUARD WAY STE 200B
City: Meridian
State: Idaho
ZIP Code: 83642-8540
Phone: (208) 563-0001

Authorized Official

Name: JONATHON WOLF, MD
Title: OWNER
Phone: (208) 563-0001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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