Idaho Pain Center and Anesthesia PC
NPI #1255520037 in Providence, Utah
Provider Information
- NPI Number
- 1255520037
- Entity Type
- Organization
- Organization Name
- Idaho Pain Center and Anesthesia PC
- Primary Specialty
- Pain Medicine - Pain Medicine
- Enumeration Date
- Oct 17, 2007
- Last Updated
- Jul 18, 2013
Practice Location
- Address
- 286 N GATEWAY DR
- City
- Providence
- State
- Utah
- ZIP Code
- 84332-9733
- Phone
- (435) 755-9184
Authorized Official
- Name
- SHANNA BEDELL
- Title
- ACCOUNTS MANAGER
- Phone
- (435) 755-0964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine |
| Pain Medicine - Pain Medicine — Pain Medicine |
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