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IDAHO STATE UNIVERSITY
Family Medicine Physician
NPI: 1801292115Organization
Specialties, Licenses & Credentials
Orthopaedic Surgery — Sports Medicine
Code: 207XX0005X
Contact & Hours
- Address
- 921 S 8TH AVE STOP 8173
POCATELLO, ID 83209 - Phone
- (208) 282-3408
Quick Facts
- NPI
- 1801292115
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 4
- Locations
- 1
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