Search › Idaho › 207RP1001X
Jordan Cormier, PA-C
NPI 1073027389 · on the registry since 2017
Practice
- Address
- 2330 Desoto St
Idaho Falls, ID 83404 - Phone
- (208) 552-4909
- Fax
- (208) 522-6101
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 207RP1001X
207RP1001X
- Also registered as
- 207RS0012X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-11-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho