| NPI | 1134905243 |
|---|---|
| Doing Business As | BOISE STATE UNIVERSITY PUBLIC HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HUDON Clinical Program Director 208-995-3765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2024-08-29 |