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Jacob Sup, DO
Family Medicine Physician in Caldwell, Idaho
NPI 1295266401

Jacob Sup is a Family Medicine Physician based in Nampa, ID. Jacob Sup practices in Caldwell, ID and has the professional credentials of DO. The NPI Number for Jacob Sup is 1295266401 and holds a License No. O-1402 (Idaho).

The current practice location address for Jacob Sup is 2005 Arlington Ave, Caldwell, ID and can be reached out via phone at 208-459-1025 and via fax at 208-459-1080. You can also correspond with Jacob Sup through the mailing address at PO BOX 9, NAMPA, ID - 83653-0009 (mailing address contact number: 208-467-4431).

Location: 2005 Arlington Ave, Caldwell, ID, 83653-0009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295266401
Provider Name
Jacob Sup
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2005 Arlington Ave, Caldwell, ID, 83653-0009
Phone Number
208-459-1025
Fax Number
208-459-1080
Provider Enumeration Date
03/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2005 Arlington Ave
City
Caldwell
State
Idaho
Zip
83605-4808
Phone Number
208-459-1025
Fax Number
208-459-1080
person
Provider Business Mailing Address Details
Address
2005 Arlington Ave
City
Caldwell
State
Idaho
Zip
83605-4808
Phone Number
208-459-1025
Fax Number
208-459-1080
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
O-1402 (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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