IDAHO STATE UNIVERSITY

POCATELLO, ID
NPI1578508081
Entity TypeOrganization
Authorized ContactRANDY L. BISHOP
Audiologist
208-282-3495
Organization Subpart ?No
Primary Taxonomy231H00000X Audiologist
(Licence: ID  AUD1225)
Enumeration Date2006-06-18
Last Update Date2020-08-22
Business Address
IDAHO STATE UNIVERSITY
650 MEMORIAL DRIVE # 68
POCATELLO, ID 83209-0001
Phone number: 208-282-3495
Mailing Address
IDAHO STATE UNIVERSITY
650 MEMORIAL DRIVE # 68
POCATELLO, ID 83209-0001
Phone number: 208-282-3495
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