NPI 1225418361
Jonathan Jo, MD
Practice location
- Address
- 801 Pole Line Rd W, Twin Falls, ID 83301-5799
- Phone
- (208) 814-1500
- Mailing address
- 190 E Bannock St, Boise, ID 83712-6241
Registered specialties (3)
Vascular & Interventional Radiology Physician
Primary
Diagnostic Radiology Physician
Vascular & Interventional Radiology Physician
Registry record
- NPI
- 1225418361
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Jun 2015
- Record last updated
- 29 Jul 2026
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.