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1114171519
ADVANCED PAIN MANAGEMENT PLLC
MERIDIAN, ID
NPI
1114171519
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Entity Type
Organization
Authorized Contact
MICHAEL DALE SEVERSON
Member
208-880-9464
Organization Subpart ?
No
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
Enumeration Date
2008-11-11
Last Update Date
2011-11-23
Business Address
ADVANCED PAIN MANAGEMENT PLLC
2275 SO EAGLE RD SUTE 160
MERIDIAN, ID 83642
Phone number: 208-947-2266
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Mailing Address
ADVANCED PAIN MANAGEMENT PLLC
6140 CURTISIAN AVE SUITE 400
BOISE, ID 83704-8880
Phone number: 208-327-5600
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