Whalio Doctors

NPI 1114285996

Idaho State University

Organisation Local Education Agency (LEA) Pocatello, ID

Practice location

Address
921 S 8th Ave Mail Stop 8219, Pocatello, ID 83209-8219
Phone
(208) 282-3540

Authorised official

Name
James Fletcher
Title
Vice President for Finance/Admin
Phone
(208) 282-3540

Registered specialties

Local Education Agency (LEA) Primary
Agencies Taxonomy 251300000X

Registry record

NPI
1114285996
Entity type
Organization
NPI issued
30 Apr 2012
Record last updated
30 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.