Idaho State University Health Center

NPI #1336214618 in Pocatello, Idaho

Provider Information

NPI Number
1336214618
Entity Type
Organization
Organization Name
Idaho State University Health Center
Subpart
Yes (part of a larger organization)
Parent Organization
IDAHO STATE UNIVERSITY
Primary Specialty
Clinic/Center - Student Health
Enumeration Date
Nov 21, 2006
Last Updated
Feb 26, 2015

Practice Location

Address
990 CESAR CHAVEZ AVE
State
Idaho
ZIP Code
83209-0001
Phone
(208) 282-2330

Authorized Official

Name
DR. RONALD M SOLBRIG, MD
Title
DIRECTOR
Phone
(208) 282-2330

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Student HealthStudent Health

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