Idaho State University
NPI #1801292115 in Pocatello, Idaho
Provider Information
- NPI Number
- 1801292115
- Entity Type
- Organization
- Organization Name
- Idaho State University
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 13, 2014
- Last Updated
- Nov 13, 2014
Practice Location
Authorized Official
- Name
- JODI WOTOWEY
- Title
- HEAD ATHLETIC TRAINER
- Phone
- (208) 282-3408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
| Orthopaedic Surgery |
| Orthopaedic Surgery - Sports Medicine — Sports Medicine |
| Family Medicine |
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