Western Idaho Center For Sleep, Llc

NPI 1013219310 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1013219310
Enumeration Date 11/19/2010
Last Updated 11/19/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DODIE R DODIE
Position MANAGER
Phone (541) 488-7715
Fax (541) 488-7721
Practice Location
302 E HERSEY ST
SUITE 12
ASHLAND OR, 97520-1200, US
Phone (541) 488-7715
Fax (541) 488-7721
Business Location
1673 W SHORELINE DR
SUITE 140
BOISE ID, 83702-6750, US
Phone (208) 342-9800
Fax
Toxanomy
Taxonomy Code 291U00000X
License State
License Number
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According to our database, Western Idaho Center For Sleep, Llc NPI is 1013219310, taxonomy code is 291U00000X Western Idaho Center For Sleep, Llc physically located at 302 E Hersey St, Ashland OR, 97520-1200. NPI Number 1033115704 has the healthcare provider type.

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1013219310 NPI number is provided on an as is basis without warranty of any kind. 1013219310 is maintained by the National Plan & Provider Enumeration System. The contents of Western Idaho Center For Sleep, Llc are for informational purposes only.