DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANTHONY SCOTT JORDAN, MD

Active

DR. ANTHONY SCOTT JORDAN, MD is a Family Medicine healthcare provider located in BOISE, Idaho. NPI 1144212549 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BOISE, ID

Registration Details

NPI Number
1144212549
Provider Type
Individual
Gender
Male
NPI Issued
Aug 22, 2005 (20.953842936771 yrs)
Last Updated
Jan 23, 2014
Licenses
01056364A (IN)
M-9584 (ID)

Practice Information

Address
12080 MCMILLAN RD
BOISE, ID, 837132462
Browse ID providers · Browse ZIP 83713
Phone
2083754955
Fax
2083755568
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in BOISE, ID

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.