Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JON-ERIC BAILLIE, M.D.
ActiveDR. JON-ERIC BAILLIE, M.D. is a Addiction Medicine (Family Practice) healthcare provider located in BOISE, Idaho. NPI 1134139991 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · BOISE, ID
Registration Details
- NPI Number
- 1134139991
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2006 (19.990229563775 yrs)
- Last Updated
- May 22, 2018
- Licenses
-
M7882 (ID)M7882 (ID)
Practice Information
- Address
-
8100 W EMERALD ST STE 180BOISE, ID, 83704Browse ID providers · Browse ZIP 83704
- Phone
- 2083773299
- Fax
- 2084605227
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Addiction Medicine (Family Practice)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.