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NPI Verification

National Provider Identifier: 1134139991

Jon-Eric Baillie, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine, Addiction Medicine

Code: 207QA0401X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Family Medicine, Addiction Medicine

Code: 207QA0401X

Primary

Practice Address

8100 W EMERALD ST STE 180

BOISE, ID 83704

Phone: 208-377-3299

NPI Enumeration Date

August 8, 2006

NPI Number

1134139991

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry