Organization
IDAHO SLEEP SPECIALISTS PC
Active
Other names
Idaho Sleep Specialists Sleep Lab
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT TROYER MD (OWNER)
(208) 895-0411
Entity
Organization
Contact information
Practice address
403 S 11TH ST STE 210, BOISE, ID 83702-6968
(208) 895-0411
(208) 895-0406
Mailing address
PO BOX 9589, BOISE, ID 83707-4589
(208) 472-8107
(208) 472-8172
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N847
BLUE CROSS OF IDAHO
ID
Enumeration date
08/29/2018
Last updated
08/29/2018
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