| NPI | 1184810921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J JENSEN Owner 208-734-3356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: ID M6246) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2011-12-21 |