IndividualActive
Paul Jansen, MD
NPI 1396830881 · Pediatric Critical Care Medicine Physician · Boise, ID
Provider details
- NPI number
- 1396830881
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M-8574 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2900
Fax: (208) 381-3255
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2011-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.