The Board of Trustees of Siu Governing Siue
NPI #1932441946 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1932441946
- Entity Type
- Organization
- Organization Name
- The Board of Trustees of Siu Governing Siue
- Primary Specialty
- Clinic/Center - Student Health
- Enumeration Date
- Mar 18, 2013
- Last Updated
- Apr 3, 2013
Practice Location
- Address
- STUDENT SUCCESS CTR RM 0222
- Address 2
- CAMPUS BOX 1055
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62026-1055
- Phone
- (618) 650-2850
Authorized Official
- Name
- RIANE B GREENWALT
- Title
- DIRECTOR, HEALTH SERVICE
- Phone
- (618) 650-2852
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Student Health — Student Health |
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