OrganizationActive
Idaho Sleep and Neurology, PLLC
NPI 1902220411 · Neurology Physician · Caldwell, ID
Provider details
- NPI number
- 1902220411
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wade Harris, Owner(208) 454-0567
- License
- M9670 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1825 S Kimball Ave
Caldwell, ID 83605-4828
Phone: (208) 454-0567
Fax: (208) 402-6635
Approximate (ZIP-level) locationGet directions
Mailing address
1825 S Kimball Ave
Caldwell, ID 83605-4828
Registry dates
- Enumerated
- 2014-02-05
- Last updated
- 2014-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.