SearchIdahoOphthalmology Physician

Jacob Mong, D.O

NPI 1346535481 · on the registry since 2011

Practice

Address
5680 W Gage St
Boise, ID 83706
Phone
(208) 377-3937
Fax
(208) 377-9455
Organisation at this address
Premier Surgical Center, Inc
Vision Quest Medical Center, Pa
Vision Quest Medical Center, Pa
Vision Quest Medical Center, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Additional practice sites

  • 350 East Ln S, Ontario, OR
  • 3025 W Cherry Ln Ste 207, Meridian, ID

Registry record

Primary taxonomy
Ophthalmology Physician
207W00000X
Also registered as
Ophthalmology Physician
Licence states on file
MI, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-08

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