NPI 1285779496

Jayne Stevenson, MD

Practitioner Legal Medicine Boise, ID

Practice location

Address: 802 W Bannock St Suite 405, Boise, ID 83702-5837
Phone: (208) 336-7341
Fax: (208) 336-7342

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence M8899 (ID)

Other Legal Medicine providers in Idaho →

Registry record

NPI: 1285779496
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Feb 2007
Record last updated: 8 Jul 2007

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.