SearchIdahoPediatric Critical Care Medicine Physician

Paul Jansen, MD

NPI 1396830881 · on the registry since 2006

Practice

Address
190 E Bannock St
Boise, ID 83712
Phone
(208) 381-2900
Fax
(208) 381-3255
Organisation at this address
St. Lukes
Picu Associates, Llc
St. Luke'S Children'S
St. Luke'S Health System
Boise Pathology Group P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
692

Registry record

Primary taxonomy
Pediatric Critical Care Medicine Physician
2080P0203X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-04-08

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