NPI 1114346749
Jordan Simpson, DO
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
Student in an Organized Health Care Education/Training Program
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.