Glenn E Jefferson JR., MD

NPI #1326121286 in Lewiston, Idaho

Provider Information

NPI Number: 1326121286
Entity Type: Individual
Name: Glenn E Jefferson JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Oct 23, 2006
Last Updated: Mar 8, 2016

Practice Location

Address: 2315 8TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-7301
Phone: (208) 746-1383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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