Organization
IDAHO SLEEP AND NEUROLOGY PLLC
Active
Other names
Idaho Sleep and Neurology PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE HALE (PRACTICE MANAGER)
(208) 454-0567
Entity
Organization
Contact information
Practice address
211 E LOGAN ST, SUITE 105, CALDWELL, ID 83605-4882
(208) 454-0567
(208) 454-0965
Mailing address
211 E LOGAN ST, SUITE 105, CALDWELL, ID 83605-4882
(208) 454-0567
(208) 454-0965
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
ID
Other
Enumeration date
11/16/2006
Last updated
12/27/2011
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