Organization
BREATH OF LIFE HEALTH CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ALICE ELIZABETH JAEGER MD (PRESIDENT)
(208) 758-9699
Entity
Organization
Contact information
Practice address
750 N SYRINGA ST STE 201B, POST FALLS, ID 83854-5275
(208) 758-9699
(208) 758-8535
Mailing address
8607 W DRIFTWOOD DR, COEUR D ALENE, ID 83814-9603
(208) 699-7644
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/16/2018
Last updated
06/01/2023
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