DR. Jonathan Walden Housley, MD

NPI #1457382244 in Soda Springs, Idaho

Provider Information

NPI Number: 1457382244
Entity Type: Individual
Name: DR. Jonathan Walden Housley, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 6, 2006
Last Updated: Oct 12, 2022

Practice Location

Address: 300 S 3RD W
City: Soda Springs
State: Idaho
ZIP Code: 83276-1559
Phone: (208) 547-4961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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