Southern Idaho Pain Institute P.c.

NPI #1336240670 in Twin Falls, Idaho

Provider Information

NPI Number
1336240670
Entity Type
Organization
Organization Name
Southern Idaho Pain Institute P.c.
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Sep 26, 2006
Last Updated
Feb 26, 2010

Practice Location

Address
236 MARTIN ST.
State
Idaho
ZIP Code
83301
Phone
(208) 733-3181

Authorized Official

Name
CLINTON L. DILLE, M.D.
Title
OWNER/ANESTHESIOLOGIST
Phone
(208) 733-3181

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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