| NPI | 1417267329 |
|---|---|
| Former Legal Business Name | SELKIRK INTERVENTIONAL PAIN |
| Entity Type | Organization |
| Authorized Contact | JEFFREY S ISPIRESCU Owner 208-965-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2015-01-22 |