| NPI | 1477941672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH GUY Physician 208-342-2104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: ID M9987) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |