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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PAIN CARE CLINIC OF IDAHO, P.C.

Active Organization

PAIN CARE CLINIC OF IDAHO, P.C. is a Pain Clinic organization located in EAGLE, Idaho. NPI 1982093357 is currently active in the NPPES registry. Verify at CMS.

Pain Clinic · EAGLE, ID

Registration Details

NPI Number
1982093357
Provider Type
Organization
NPI Issued
Jan 22, 2015 (11.582963648196 yrs)
Last Updated
Jan 22, 2015
License
M12565 (ID)

Practice Information

Address
742 E STATE ST
SUITE 150
EAGLE, ID, 836165941
Browse ID providers · Browse ZIP 83616
Phone
2089393750
Fax
2089393754
Primary Specialty
Pain Clinic
261QP3300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.