Jarrell Plastic Surgery

NPI #1477195931 in Meridian, Idaho

Provider Information

NPI Number: 1477195931
Entity Type: Organization
Organization Name: Jarrell Plastic Surgery
Primary Specialty: Surgery - Plastic and Reconstructive Surgery
Enumeration Date: Oct 16, 2019
Last Updated: Mar 24, 2020

Practice Location

Address: 3090 E GENTRY WAY STE 210
City: Meridian
State: Idaho
ZIP Code: 83642-3550
Phone: (208) 810-2245

Authorized Official

Name: JOHN A JARRELL IV, MD
Title: MEMBER
Phone: (208) 810-2245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X	Primary

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