person
Glenn E Jefferson JR., MD
Family Medicine Physician in Lewiston, Idaho
NPI 1326121286

Glenn E Jefferson JR. is a Family Medicine Physician based in Lewiston, ID. Glenn E Jefferson JR. practices in Lewiston, ID and has the professional credentials of MD. The NPI Number for Glenn E Jefferson JR. is 1326121286 and holds a License No. M4593 (Idaho).

The current practice location address for Glenn E Jefferson JR. is 2315 8Th St, Lewiston, ID and can be reached out via phone at 208-746-1383 and via fax at 208-746-6348.

Location: 2315 8Th St, Lewiston, ID, 83501-7301
person
Provider Profile Details
NPI Number
1326121286
Provider Name
Glenn E Jefferson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2315 8Th St, Lewiston, ID, 83501-7301
Phone Number
208-746-1383
Fax Number
208-746-6348
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31254 01 WA LABOR & INDUSTRIES
1326121286 01 ID HEALTHY CONNECTIONS
1326121286 01 ID REGENCE BLUESHIELD OF IDAHO
1007806 05 WA
1326121286 05 ID
80094289 01 ID RAILROAD MEDICARE
DF540 01 ID BLUE CROSS
1119637 01 ID DMERC
institution
Provider Business Practice Location Address Details
Address
2315 8Th St
City
State
Zip
83501-7301
Phone Number
208-746-1383
Fax Number
208-746-6348
person
Provider Business Mailing Address Details
Address
2315 8Th St
City
State
Zip
83501-7301
Phone Number
208-746-1383
Fax Number
208-746-6348
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
M4593 (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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