Organization
SOUTHWEST DISTRICT HEALTH
Active
Other names
State of Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE A KROSCH (DIRECTOR)
(208) 455-5300
Entity
Organization
Contact information
Practice address
13307 MIAMI LN, CALDWELL, ID 83607-4701
(208) 455-5300
Mailing address
13307 MIAMI LN, CALDWELL, ID 83607-4701
(208) 455-5300
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
08/13/2008
Last updated
01/07/2013
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