Idaho Sleep and Neurology Pllc

NPI #1063585305 in Caldwell, Idaho

Provider Information

NPI Number: 1063585305
Entity Type: Organization
Organization Name: Idaho Sleep and Neurology Pllc
Primary Specialty: Specialist
Enumeration Date: Nov 16, 2006
Last Updated: Dec 27, 2011

Practice Location

Address: 211 E LOGAN ST
Address 2: SUITE 105
City: Caldwell
State: Idaho
ZIP Code: 83605-4882
Phone: (208) 454-0567

Authorized Official

Name: LANCE HALE
Title: PRACTICE MANAGER
Phone: (208) 454-0567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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