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JACOB SUP, DO

DO

Family Medicine Physician

NPI: 1295266401IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

O-1402(ID)

CMS Specialties

PrimaryFAMILY PRACTICE

Education

AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA

Class of 2017

Research & Publications (1)

Data courtesy of the U.S. National Library of Medicine (NLM). Ltrl is not affiliated with or endorsed by NLM.

Contact & Hours

Address
2005 ARLINGTON AVE
CALDWELL, ID 83605

Quick Facts

NPI
1295266401
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
9
Publications
1

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