Organization · Type 2 NPI
The Board of Trustees of Siu Governing Siue
Student Health Clinic/Center · Edwardsville, IL
NPI number
1932441946
Active
Practice location
Student Success Ctr Rm 0222, Campus Box 1055
Edwardsville, IL 62026-1055
Fax (618) 650-5839
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
Student Health Clinic/Center: Definition to come...
About NPI 1932441946
The Board of Trustees of Siu Governing Siue's National Provider Identifier is 1932441946, issued on Mar 18, 2013. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Edwardsville, IL. The record was last updated on Apr 3, 2013.