Southern Idaho Pain Institute P.c.

NPI #1932381522 in Twin Falls, Idaho

Provider Information

NPI Number: 1932381522
Entity Type: Organization
Organization Name: Southern Idaho Pain Institute P.c.
Primary Specialty: Specialist
Enumeration Date: Dec 5, 2007
Last Updated: Nov 5, 2013

Practice Location

Address: 176 FALLS AVENUE
City: Twin Falls
State: Idaho
ZIP Code: 83301
Phone: (208) 733-3181

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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