Individual
JOHN PETER IDEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
221 S RIVER ST STE B, HAILEY, ID 83333-8436
(208) 788-0296
(208) 994-0897
Mailing address
221 S RIVER ST STE B, HAILEY, ID 83333-8436
(208) 788-0296
(208) 994-0897
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA-2962
ID
Other
Enumeration date
02/25/2021
Last updated
04/24/2025
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