person
Jonathan Sidlow, MD
Student in an Organized Health Care Education/Training Program in Idaho Falls, Idaho
NPI 1477203297

Jonathan Sidlow is a Student in an Organized Health Care Education/Training Program based in Idaho Falls, ID. Jonathan Sidlow practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Jonathan Sidlow is 1477203297 and holds a License No. (Idaho).

The current practice location address for Jonathan Sidlow is 3100 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-529-6111.

Location: 3100 Channing Way, Idaho Falls, ID, 83404-7533
person
Provider Profile Details
NPI Number
1477203297
Provider Name
Jonathan Sidlow
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3100 Channing Way, Idaho Falls, ID, 83404-7533
Phone Number
208-529-6111
Fax Number
Provider Enumeration Date
03/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3100 Channing Way
City
State
Zip
83404-7533
Phone Number
208-529-6111
Fax Number
person
Provider Business Mailing Address Details
Address
3100 Channing Way
City
State
Zip
83404-7533
Phone Number
208-529-6111
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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