Jeffrey B. Symmonds
Vascular Surgeon
6140 W Curtisian Suite 300
Boise
, Idaho 83704
Jeffrey B. Symmonds
Vascular Surgeon
6140 W Curtisian Suite 300
Boise
, Idaho 83704
(208) 367-5180
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Jeffrey B. Symmonds
- 3340 East Goldstone Way
- Meridian, ID
- Zip : 83642-1026
- Fax : (208) 367-5180
- Phone : (208) 367-5170
Second Address
- Jeffrey B. Symmonds
- 6140 W Curtisian Suite 300
- Boise, ID
- Zip : 83704
- Fax : (208) 367-7798
- Phone : (208) 367-7787
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | M5182 | ID |
National Provider Identifier
| NPI | 1154370328 |
|---|---|
| Provider Name | Jeffrey B. Symmonds |
| First Address | Meridian, ID 83642-1026 |
| Second Address | Boise, ID 83704 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2006 |
| Last Update Date | 04/02/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003956300 | (05) | ID |
| 020029312 | RR MEDICARE (01) | |
| B63907 | (02) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.