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Organization

MAGIC VALLEY SLEEP INSTITUTE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN FORTUIN MD (MANAGER)
(208) 308-2596
Entity
Organization

Contact information

Practice address
340 N HAVEN DR, 101, TWIN FALLS, ID 83301-3392
(208) 734-3356
(855) 898-0004
Mailing address
PO BOX 1657, TWIN FALLS, ID 83303-1657
(208) 734-3356
(855) 898-0004

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
05/02/2023
Last updated
09/27/2023
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