Whalio Doctors

NPI 1952961732

Jason Forgeon, MD

Practitioner Emergency Medicine Physician Burley, ID

Practice location

Address
1501 Hiland Ave, Burley, ID 83318-2688
Phone
(208) 678-4444
Mailing address
PO Box 30180, Salt Lake City, UT 84130-0180

Registered specialties (3)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence M-17330 (ID)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence MT218930 (PA)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 13034934-1205 (UT)

Registry record

NPI
1952961732
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Jun 2019
Record last updated
28 Jul 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.