Eastern Idaho Public Health District
NPI #1912114273 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1912114273
- Entity Type
- Organization
- Organization Name
- Eastern Idaho Public Health District
- Primary Specialty
- Dentist - Dental Public Health
- Enumeration Date
- May 17, 2007
- Last Updated
- Jan 18, 2008
Practice Location
- Address
- 1250 HOLLIPARK DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-6217
- Phone
- (208) 522-0310
Authorized Official
- Name
- MR. RICHARD HORNE
- Title
- DIRECTOR
- Phone
- (208) 522-0310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
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