| NPI | 1710995170 |
|---|---|
| Doing Business As | ST. ALPHONSUS PAIN MANAGEMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS M HILL Administrator 208-367-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |