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Idaho Falls Pulmonary Sleep & Critical Care Specialists

Internal Medicine, Critical Care Medicine in Idaho Falls, ID. Organization (NPI-2).

NPI number1407124753
StatusActive
Last updated in NPPESJan 4, 2012

Details

NPI
1407124753
Entity type
Organization (NPI-2)
Legal business name
Idaho Falls Pulmonary Sleep & Critical Care Specialists
Organization subpart
No
Enumeration date
Dec 1, 2011
Last updated
Jan 4, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0200X Internal Medicine, Critical Care Medicine––Yes
207RP1001X Internal Medicine, Pulmonary Disease––
207RS0012X Internal Medicine, Sleep Medicine––

Practice location

2442 E 25th St
Idaho Falls, ID 83404-7549

Phone 208-552-4909 · Fax 208-522-6101

Mailing address

2442 E 25th St
Idaho Falls, ID 83404-7549

Phone 208-552-4909 · Fax 208-522-6101

Authorized official

Allen J Salem
Owner/Director
2085524909

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Other Critical Care Medicine (Internal Medicine) Physician providers in Idaho Falls, ID

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