Organization
WESTERN IDAHO CENTER FOR SLEEP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DODIE R NOLES (MANAGER)
(541) 488-7715
Entity
Organization
Contact information
Practice address
302 E HERSEY ST, SUITE 12, ASHLAND, OR 97520-1200
(541) 488-7715
(541) 488-7721
Mailing address
1673 W SHORELINE DR, SUITE 140, BOISE, ID 83702-6750
(208) 342-9800
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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