Individual provider · Type 1 NPI

Jacob Sup, DO

Family Medicine Physician · Caldwell, ID

NPI number 1295266401 Active

Practice location

2005 Arlington Ave
Caldwell, ID 83605-4808

Call (208) 459-1025 Map

Fax (208) 459-1080

Mailing address

PO Box 9
Nampa, ID 83653-0009

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XO-1402 (ID)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1295266401

Jacob Sup, DO's National Provider Identifier is 1295266401, issued on Mar 21, 2017. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Caldwell, ID. The record was last updated on Aug 7, 2020.