Organization
IDAHO FALLS PULMONARY SLEEP & CRITICAL CARE SPECIALISTS
Active
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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