| NPI | 1194865444 |
|---|---|
| Doing Business As | BOISE STATE UNIVERSITY |
| Entity Type | Organization |
| Authorized Contact | ROCHELLE WOLFE Medical Director 208-426-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: ID m-7056) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-12-08 |