Organization
IDAHO SLEEP SOLUTIONS, LLC
Active
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
210 W GEORGIA, NAMPA, ID 83686
(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
W53339
ID
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/15/2008
Last updated
08/19/2008
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