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Jade Dardine, MD
Family Medicine Physician in Ponderay, Idaho
NPI 1720493638

Jade Dardine is a Family Medicine Physician based in Ponderay, ID. Jade Dardine practices in Ponderay, ID and has the professional credentials of MD. The NPI Number for Jade Dardine is 1720493638 and holds a License No. M-13138 (Idaho).

The current practice location address for Jade Dardine is 30410 Highway 200, Ponderay, ID and can be reached out via phone at 208-263-7101. You can also correspond with Jade Dardine through the mailing address at 30410 HIGHWAY 200, PONDERAY, ID - 83852-9601 (mailing address contact number: 208-263-7101).

Location: 30410 Highway 200, Ponderay, ID, 83852-9601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720493638
Provider Name
Jade Dardine
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
30410 Highway 200, Ponderay, ID, 83852-9601
Phone Number
208-263-7101
Fax Number
Provider Enumeration Date
06/30/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M-13138 01 ID STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
30410 Highway 200
City
Ponderay
State
Idaho
Zip
83852-9601
Phone Number
208-263-7101
Fax Number
person
Provider Business Mailing Address Details
Address
30410 Highway 200
City
Ponderay
State
Idaho
Zip
83852-9601
Phone Number
208-263-7101
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
M-13138 (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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