| NPI | 1194826750 |
|---|---|
| Other Name | CREEKSIDE PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | CATHERINE L LINDERMAN Owner 208-524-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-06-24 |