Tyshae Jaggi, DO

NPI #1972127942 in Pocatello, Idaho

Provider Information

NPI Number: 1972127942
Entity Type: Individual
Name: Tyshae Jaggi, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 4, 2020
Last Updated: Jul 28, 2023

Practice Location

Address: 465 MEMORIAL DR
City: Pocatello
State: Idaho
ZIP Code: 83201-4008
Phone: (208) 232-7862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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