State of Idaho
NPI #1063576445 in Pocatello, Idaho
Provider Information
- NPI Number
- 1063576445
- Entity Type
- Organization
- Organization Name
- State of Idaho
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- Dec 20, 2006
- Last Updated
- Jun 30, 2008
Practice Location
Authorized Official
- Name
- MR. EDWARD A. MARUGG, R.E.H.S
- Title
- DIRECTOR
- Phone
- (208) 233-9080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
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