Organization
IDAHO SLEEP SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J BEASLEY MD (MANAGER)
(208) 463-3000
Entity
Organization
Contact information
Practice address
7272 POTOMAC DR, BOISE, ID 83704
(208) 375-8222
(208) 375-8232
Mailing address
7272 POTOMAC DR, BOISE, ID 83704
(208) 375-8222
(208) 375-8232
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807707900
—
ID
Enumeration date
11/08/2007
Last updated
08/19/2008
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