Jason Lee Harmon, DO candidate 2019
Internal Medicine in Boise, ID. Individual provider (NPI-1).
NPI number1083177935
StatusActive
Last updated in NPPESJul 7, 2023
Details
- NPI
- 1083177935
- Entity type
- Individual (NPI-1)
- Name
- Jason Lee Harmon
- Credential
- DO candidate 2019
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2019
- Certification date
- Jul 7, 2023
- Last updated
- Jul 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | O-1864 | ID | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1055 N Curtis RdBoise, ID 83706-1309
Phone 208-367-7350
Mailing address
Po Box 190930Boise, ID 83719-0930
Phone 208-367-5170 · Fax 208-367-5180
Other practice locations
98 Poplar St
Blackfoot, ID 83221-1758
Blackfoot, ID 83221-1758
Phone 208-782-2950
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