Byu Idaho Student Health Center

NPI #1538347034 in Rexburg, Idaho

Provider Information

NPI Number: 1538347034
Entity Type: Organization
Organization Name: Byu Idaho Student Health Center
Primary Specialty: Clinic/Center
Enumeration Date: Feb 6, 2008
Last Updated: Feb 6, 2008

Practice Location

Address: 100 SHC
City: Rexburg
State: Idaho
ZIP Code: 83460-2010
Phone: (208) 496-1300

Authorized Official

Name: SHAWN B ORR, MBA
Title: DIRECTOR OF HEALTHCARE CENTER
Phone: (208) 496-3434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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