Whalio Doctors

NPI 1114346749

Jordan Simpson, DO

Practitioner Neonatal-Perinatal Medicine Physician Idaho Falls, ID

Practice location

Address
3100 Channing Way, Idaho Falls, ID 83404-7533
Phone
(208) 529-6111
Mailing address
1041 Villa Vista Dr, Ammon, ID 83406-1268

Registered specialties (2)

Neonatal-Perinatal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2080N0001X Licence O-1399 (ID)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1114346749
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Apr 2014
Record last updated
4 Dec 2023

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.