Idaho State University
NPI #1851516256 in Pocatello, Idaho
Provider Information
- NPI Number
- 1851516256
- Entity Type
- Organization
- Organization Name
- Idaho State University
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IDAHO STATE UNIVERSITY
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 13, 2007
- Last Updated
- Mar 24, 2008
Practice Location
Authorized Official
- Name
- DR. BRIAN ROBERT CRAWFORD, DDS
- Title
- PROGRAM DIRECTOR IAGD
- Phone
- (208) 282-5275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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