institution
Southern Idaho Diabetes Education Program
Primary Care Clinic/Center in Shoshone, Idaho
NPI 1154572311

Southern Idaho Diabetes Education Program is a Primary Care Clinic/Center based in Shoshone, ID and is specialized in Primary Care. Southern Idaho Diabetes Education Program practices in Shoshone, ID. The NPI Number for Southern Idaho Diabetes Education Program is 1154572311 and holds a License No. (Idaho).

The current practice location address for Southern Idaho Diabetes Education Program is 108 Nw Rail St, Shoshone, ID and can be reached out via phone at 208-944-4747 and via fax at 208-886-2634.

Location: 108 Nw Rail St, Shoshone, ID, 83352-5287
institution
Provider Profile Details
NPI Number
1154572311
Provider Name
Southern Idaho Diabetes Education Program
Credential
Provider Entity Type
Organization
Address
108 Nw Rail St, Shoshone, ID, 83352-5287
Phone Number
208-944-4747
Fax Number
208-886-2634
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 Nw Rail St
City
State
Zip
83352
Phone Number
208-944-4747
Fax Number
208-886-2634
person
Provider Business Mailing Address Details
Address
108 Nw Rail St
City
State
Zip
83352
Phone Number
208-944-4747
Fax Number
208-886-2634
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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