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1730140682
IDAHO INTERVENTIONAL PAIN CENTER
BOISE, ID
NPI
1730140682
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Entity Type
Organization
Authorized Contact
RICHARD ALAN DUBOSE
President
208-323-6273
Organization Subpart ?
No
Primary Taxonomy
208VP0000X Pain Medicine, Pain Medicine
Enumeration Date
2006-03-30
Last Update Date
2008-02-19
Business Address
IDAHO INTERVENTIONAL PAIN CENTER
8950 W EMERALD STE 164
BOISE, ID 83704
Phone number: 208-323-6273
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Mailing Address
IDAHO INTERVENTIONAL PAIN CENTER
8950 W EMERALD STE 164
BOISE, ID 83704
Phone number: 208-323-6273
Copy
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