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IDAHO SPINE & PAIN PLLC

Organization (NPI-2) Active

Pain Medicine, Interventional Pain Medicine

Provider Information

NPI Number
1306291836
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
1859 S TOPAZ WAY STE 106, MERIDIAN, ID, 836424401
Phone
(208) 672-4640
Fax
(208) 957-6300

Specialties & Taxonomies

Anesthesiology License: ID #M13074
Anesthesiology, Pain Medicine
Pain Medicine, Interventional Pain Medicine Primary

All Addresses

LOCATION

1859 S TOPAZ WAY STE 106

MERIDIAN, ID, 836424401

(208) 672-4640

MAILING

1859 S TOPAZ WAY STE 106

MERIDIAN, ID, 836424401

(208) 672-4640