NPI 1316060890
Blake B Jensen, DO
Practice location
- Address
- 1646 Eldridge Ave, Twin Falls, ID 83301-7817
- Phone
- (208) 734-7362
- Fax
- (208) 733-9463
Registered specialties
Anesthesiology Physician
Primary
Registry record
- NPI
- 1316060890
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Apr 2007
- Record last updated
- 14 Aug 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.