Organization
THE CENTER FOR SLEEP APNEA AND TMJ PA
Active
Parent organization
CRANIOFACIAL PAIN CENTER OF IDAHO
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRANIOFACIAL PAIN CENTER OF IDAHO
Authorized official
JAMISON R SPENCER DMD (OWNER)
(208) 376-3600
Entity
Organization
Contact information
Practice address
1436 S EDGEWATER CIR, NAMPA, ID 83686-5051
(208) 376-3600
(208) 376-3616
Mailing address
1436 S EDGEWATER CIR, NAMPA, ID 83686-5051
(208) 376-3600
(208) 376-3616
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
08/19/2015
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