Organization
SOUTHWEST DISTRICT HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE A KROSCH (DIRECTOR)
(208) 455-5315
Entity
Organization
Contact information
Practice address
13307 MIAMI LN, CALDWELL, ID 83607-4701
(208) 455-5300
(208) 454-7722
Mailing address
13307 MIAMI LN, CALDWELL, ID 83607-4701
(208) 455-5300
(208) 454-7722
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
D-368
ID
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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