NPI 1104867662

Jack C Chaffin, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Boise, ID

Practice location

Address: 1055 N Curtis Rd, Boise, ID 83706-1309
Phone: (208) 367-2152
Mailing address: PO Box 9589, Boise, ID 83707-4589

Registered specialties (2)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence M8872 (ID)

Other Pathology providers in Idaho →

Cytopathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZC0500X Licence M8872 (ID)

Registry record

NPI: 1104867662
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2006
Record last updated: 13 Oct 2011

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.