Southern Idaho Diabetes Education Program
NPI #1154572311 in Shoshone, Idaho
Provider Information
- NPI Number
- 1154572311
- Entity Type
- Organization
- Organization Name
- Southern Idaho Diabetes Education Program
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SHOSHONE FAMILY MEDICAL CENTER
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 7, 2008
- Last Updated
- Oct 7, 2008
Practice Location
Authorized Official
- Name
- KATHRYN EVALENA PIKE, RN, CDE
- Title
- SIDEP COORDINATOR
- Phone
- (208) 944-4747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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