Jade Dardine, MD

NPI #1720493638 in Ponderay, Idaho

Provider Information

NPI Number: 1720493638
Entity Type: Individual
Name: Jade Dardine, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 30, 2014
Last Updated: Dec 27, 2017

Practice Location

Address: 30410 HIGHWAY 200
City: Ponderay
State: Idaho
ZIP Code: 83852-9601
Phone: (208) 263-7101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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