| NPI | 1972757870 |
|---|---|
| Doing Business As | UNIVERSITY PROFESSIONAL SERVICES IN IDAHO |
| Entity Type | Organization |
| Authorized Contact | ANTHONY R. MASCIOTRA Associate Dean 503-494-5099 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2016-12-12 |