NPI 1073339321

Adam C Jenseen

Practitioner Orthopaedic Surgery Physician Chubbuck, ID

Practice location

Address: 5310 Diamond Cir, Chubbuck, ID 83202-2183
Phone: (858) 264-6361

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence $$$$$$$$$ (ID)

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Registry record

NPI: 1073339321
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Dec 2024
Record last updated: 2 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.