SearchIdaho363AM0700X

Alan Jensen, PA

NPI 1821370461 · on the registry since 2011

Practice

Address
3360 Washington Pkwy
Suite 2
Idaho Falls, ID 83404
Phone
(208) 528-8170
Fax
(208) 552-5461
Organisation at this address
Taylor G Wright Pc
Tony C Roisum Md Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-04-25

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