| The Regents Of The University Of Idaho | |
|
5880 N Glenwood St Boise ID 83714-1342 | |
| (208) 287-5900 | |
| Not Available |
| Full Name | The Regents Of The University Of Idaho |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5880 N Glenwood St, Boise, Idaho |
| Authorized Official Name and Position | Bridget Morrisroe-miller (ASSOCIATE PROFESSOR) |
| Authorized Official Contact | 2082875900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Regents Of The University Of Idaho 5880 N Glenwood St Boise ID 83714-1342 Ph: (120) 889-0787 | The Regents Of The University Of Idaho 5880 N Glenwood St Boise ID 83714-1342 Ph: (208) 287-5900 |
| NPI Number | 1063290013 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063290013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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