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University Of Idaho
General Practice Physician in Moscow, Idaho
NPI 1548762867

University Of Idaho is a General Practice Physician based in Addison, ID. University Of Idaho practices in Moscow, ID. The NPI Number for University Of Idaho is 1548762867 and holds a License No. (Idaho).

The current practice location address for University Of Idaho is 875 Perimeter Dr # Ms 2302, Moscow, ID and can be reached out via phone at 972-367-4845. You can also correspond with University Of Idaho through the mailing address at 15305 DALLAS PKWY STE 800, ADDISON, TX - 75001-6415 (mailing address contact number: 972-367-4845).

Location: 875 Perimeter Dr # Ms 2302, Moscow, ID, 75001-6415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548762867
Provider Name
University Of Idaho
Credential
Provider Entity Type
Organization
Address
875 Perimeter Dr # Ms 2302, Moscow, ID, 75001-6415
Phone Number
972-367-4845
Fax Number
Provider Enumeration Date
03/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
875 Perimeter Dr # Ms 2302
City
Moscow
State
Idaho
Zip
83844-9803
Phone Number
972-367-4845
Fax Number
person
Provider Business Mailing Address Details
Address
15305 Dallas Pkwy Ste 800
City
Addison
State
Texas
Zip
75001-6415
Phone Number
972-367-4845
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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