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Organization

IDAHO FALLS PULMONARY SLEEP & CRITICAL CARE SPECIALISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLEN J SALEM MD (OWNER/DIRECTOR)
(208) 552-4909
Entity
Organization

Contact information

Practice address
2442 E 25TH ST, IDAHO FALLS, ID 83404-7549
(208) 552-4909
(208) 522-6101
Mailing address
2442 E 25TH ST, IDAHO FALLS, ID 83404-7549
(208) 552-4909
(208) 522-6101

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
207RP1001X
Pulmonary Disease Physician
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8P562
BLUE CROSS OF IDAHO
ID
Enumeration date
12/01/2011
Last updated
01/04/2012
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