JACKSON CORBETT

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1386321552

Practice Address

921 S 8TH AVE STOP 8253
Pocatello, ID 83209

Phone: (208) 282-4726

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1386321552 is the National Provider Identifier for JACKSON CORBETT, a Student in an Organized Health Care Education/Training Program provider located in Pocatello, ID. This NPI was enumerated on June 29, 2023.
JACKSON CORBETT practices at 921 S 8TH AVE STOP 8253, Pocatello, ID 83209.

Quick Facts

NPI
1386321552
Type
Individual
Enumerated
Jun 29, 2023
Last Updated
Jun 29, 2023

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