Idaho Interventional Pain Center

NPI #1730140682 in Boise, Idaho

Provider Information

NPI Number: 1730140682
Entity Type: Organization
Organization Name: Idaho Interventional Pain Center
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Mar 30, 2006
Last Updated: Feb 19, 2008

Practice Location

Address: 8950 W EMERALD
Address 2: STE 164
City: Boise
State: Idaho
ZIP Code: 83704
Phone: (208) 323-6273

Authorized Official

Name: RICHARD ALAN DUBOSE, MD
Title: PRESIDENT
Phone: (208) 323-6273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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Rebekah Elizabeth Guy, M.D., B.S.	Pain Medicine - Pain Medicine	Boise	AI Deep Dive
Slavik Osipchuk, NP	Pain Medicine - Pain Medicine	Boise	AI Deep Dive
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DR. Michael D Severson, MD	Pain Medicine - Pain Medicine	Meridian	AI Deep Dive

Organizations

Provider Name	Specialty	City
Idaho Pain Center	Pain Medicine - Pain Medicine	Boise	AI Deep Dive

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