Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idaho State University

Organization Audiologist · NPI 1578508081

Idaho State University is an Audiologist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006

Practice location Address checks out

650 Memorial Dr # 68
Pocatello, ID 83209-0001
Phone: (208) 282-3495
Fax: (208) 282-4571
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence AUD1225 (ID)

Record details

NPI number1578508081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Bishop — Audiologist · (208) 282-3495
NPI enumeratedJune 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address650 Memorial Drive, 68, Pocatello, ID 83209-0001

Other providers in Pocatello