Search › Idaho › 363AM0700X
Jacob Tebbs, PA-C
NPI 1154870251 · on the registry since 2016
Practice
- Address
- 6051 N Eagle Rd
Boise, ID 83713 - Phone
- (208) 519-4333
- Fax
- (208) 205-9134
- Organisation at this address
- Clinton Clark Dpm Llc
1st Class Dentures, Llc
Boise Podiatry Clinic, P. A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 999 N Curtis Rd Ste 307, Boise, ID
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-07
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