Organization
SLEEP APNEA & BREATHING THERAPY NORTHWEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE J LOFTUS III (MEMBER)
(208) 660-4880
Entity
Organization
Contact information
Practice address
2615 N FRUITLAND LN, COEUR D ALENE, ID 83815-7914
(208) 660-4880
Mailing address
2615 N FRUITLAND LN, COEUR D ALENE, ID 83815-7914
(208) 660-4880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3019
ID
332BC3200X
Customized Equipment (DME)
Primary
3019
ID
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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