Whalio Doctors

NPI 1114910296

Melvin Terry Jeppson, MD

Practitioner Obstetrics & Gynecology Physician Burley, ID

Practice location

Address
1501 Hiland Ave Suite B, Burley, ID 83318-2682
Phone
(208) 878-2229
Fax
(208) 878-4599
Mailing address
1501 Hiland Ave Suite B1, Burley, ID 83318-2682

Registered specialties

Obstetrics & Gynecology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence M5646 (ID)

Registry record

NPI
1114910296
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Aug 2005
Record last updated
17 Jun 2021

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.