Southeastern District Health Dept.

NPI #1396919916 in Pocatello, Idaho

Provider Information

NPI Number
1396919916
Entity Type
Organization
Organization Name
Southeastern District Health Dept.
Primary Specialty
Public Health or Welfare
Enumeration Date
Apr 15, 2008
Last Updated
Oct 28, 2008

Practice Location

Address
1901 ALVIN RICKEN DR
State
Idaho
ZIP Code
83201-2727
Phone
(208) 233-9080

Authorized Official

Name
MS. TRICIA NANNETTE CODDING
Title
FACHS DIRECTOR
Phone
(208) 233-9080

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare

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