DR. Jeremy A Idjadi, MD

NPI #1578659264 in Port Townsend, Washington

Provider Information

NPI Number: 1578659264
Entity Type: Individual
Name: DR. Jeremy A Idjadi, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: Oct 4, 2006
Last Updated: Jun 8, 2021

Practice Location

Address: 834 SHERIDAN ST
City: Port Townsend
State: Washington
ZIP Code: 98368-2443
Phone: (360) 344-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X
Orthopaedic Surgery	207X00000X	Primary

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