| NPI | 1356353239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI A PALUSO Administrator 208-748-4315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2008-09-23 |