INTERVENTIONAL PAIN CONSULTANTS PA

LEWISTON, ID
NPI1457533937
Entity TypeOrganization
Authorized ContactJOHN THOMAS GRISSOM
Owner/Director
208-743-9712
Organization Subpart ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2007-11-27
Last Update Date2007-11-27
Business Address
INTERVENTIONAL PAIN CONSULTANTS PA
2841 JUNIPER DR
LEWISTON, ID 83501-4719
Phone number: 208-743-9712
Mailing Address
INTERVENTIONAL PAIN CONSULTANTS PA
2841 JUNIPER DR
LEWISTON, ID 83501-4719
Phone number: 208-743-9712
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