SearchIdaho101YM0800X

Dallin Jackman

NPI 1437662905 · on the registry since 2017 · sole proprietor

Practice

Address
2991 Jackie Ct
Idaho Falls, ID 83402
Phone
(802) 918-3912

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2023-07-13

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