Idaho State University Department of Family Medicine
NPI #1780032326 in Pocatello, Idaho
Provider Information
- NPI Number
- 1780032326
- Entity Type
- Organization
- Organization Name
- Idaho State University Department of Family Medicine
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HEALTH WEST INC.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 24, 2016
- Last Updated
- May 24, 2016
Practice Location
Authorized Official
- Name
- LAURIE POWELL
- Title
- AUTHORIZATION SPECIALIST
- Phone
- (208) 232-6260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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