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Jessica Thibault, MD
Student in an Organized Health Care Education/Training Program in Twin Falls, Idaho
NPI 1821355330

Jessica Thibault is a Student in an Organized Health Care Education/Training Program based in Twin Falls, ID. Jessica Thibault practices in Twin Falls, ID and has the professional credentials of MD. The NPI Number for Jessica Thibault is 1821355330 and holds a License No. M-14230 (Idaho).

The current practice location address for Jessica Thibault is 725 Pole Line Rd W, Twin Falls, ID and can be reached out via phone at 208-814-1600 and via fax at 208-814-1910. You can also correspond with Jessica Thibault through the mailing address at 725 POLE LINE RD W, TWIN FALLS, ID - 83301-5860 (mailing address contact number: ).

Location: 725 Pole Line Rd W, Twin Falls, ID, 83301-5860
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821355330
Provider Name
Jessica Thibault
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
725 Pole Line Rd W, Twin Falls, ID, 83301-5860
Phone Number
208-814-1600
Fax Number
208-814-1910
Provider Enumeration Date
04/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
725 Pole Line Rd W
City
Twin Falls
State
Idaho
Zip
83301
Phone Number
208-814-1600
Fax Number
208-814-1910
person
Provider Business Mailing Address Details
Address
725 Pole Line Rd W
City
Twin Falls
State
Idaho
Zip
83301
Phone Number
208-814-1600
Fax Number
208-814-1910
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Medical Oncology
Taxonomy
207RX0202X
License No.
()
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
M-14230 (Idaho)
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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