Pain Specialists of Idaho

NPI #1992070809 in Idaho Falls, Idaho

Provider Information

NPI Number
1992070809
Entity Type
Organization
Organization Name
Pain Specialists of Idaho
Primary Specialty
Anesthesiology - Pain Medicine
Enumeration Date
Mar 12, 2012
Last Updated
Mar 12, 2012

Practice Location

Address
2375 E SUNNYSIDE RD STE J
State
Idaho
ZIP Code
83404-8281
Phone
(208) 522-7246

Authorized Official

Name
CORI D ANDERSON
Title
BILLING MANAGER
Phone
(208) 522-7246

Specialties & Taxonomy Codes

Specialty
Anesthesiology - Pain MedicinePain Medicine

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