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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 Moscow, 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 831 Ash St, Moscow, ID and can be reached out via phone at 208-885-2210 and via fax at 208-885-1002.

Location: 831 Ash St, Moscow, ID, 83844-9803
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
831 Ash St, Moscow, ID, 83844-9803
Phone Number
208-885-2210
Fax Number
208-885-1002
Provider Enumeration Date
03/02/2018
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
831 Ash St
City
Moscow
State
Idaho
Zip
83844-9803
Phone Number
208-885-2210
Fax Number
208-885-1002
person
Provider Business Mailing Address Details
Address
831 Ash St
City
Moscow
State
Idaho
Zip
83844-9803
Phone Number
208-885-2210
Fax Number
208-885-1002
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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