State Of Idaho is a Public Health or Welfare Agency based in Pocatello, ID. State Of Idaho practices in Pocatello, ID. The NPI Number for State Of Idaho is 1235260829 and holds a License No. (Idaho).
The current practice location address for State Of Idaho is 1901 Alvin Ricken Dr, Pocatello, ID and can be reached out via phone at 208-239-5242 and via fax at 208-478-9297.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002470300 | 05 | ID |
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