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Search › Idaho › 225X00000X

Jake Bundy, MOTR/L

NPI 1972005361 · on the registry since 2018 · sole proprietor

Practice

Address
560 Memorial Dr Ste B
Pocatello, ID 83201
Phone
(208) 235-4263
Organisation at this address
Bmh Inc.
Portneuf Brace Company, Llc
Idaho Orthopedic & Sports Clinic Pa
Hand And Upper Extremity Center, Inc
Idaho Orthopaedics And Sports Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho