Organization
IDAHO STATE UNIVERSITY HEALTH CENTER
Active
Parent organization
IDAHO STATE UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
IDAHO STATE UNIVERSITY
Authorized official
DR. RONALD M SOLBRIG MD (DIRECTOR)
(208) 282-2330
Entity
Organization
Contact information
Practice address
990 CESAR CHAVEZ AVE, POCATELLO, ID 83209-0001
(208) 282-2330
(208) 282-4036
Mailing address
921 S 8TH AVE STOP 8311, POCATELLO, ID 83209-0002
(208) 282-2330
(208) 282-4036
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
02/26/2015
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