Sleep Disorder Center of Eastern Idaho, Inc.
NPI #1427100270 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1427100270
- Entity Type
- Organization
- Organization Name
- Sleep Disorder Center of Eastern Idaho, Inc.
- Primary Specialty
- Clinic/Center - Sleep Disorder Diagnostic
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Dec 18, 2008
Practice Location
- Address
- 2001 S WOODRUFF
- Address 2
- STE 11
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404
- Phone
- (208) 524-8044
Authorized Official
- Name
- SANDRA M JACKSON, POLYSOMNOGRAPHIST
- Title
- OWNER
- Phone
- (208) 524-8044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Sleep Disorder Diagnostic — Sleep Disorder Diagnostic |
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