| NPI | 1740582303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA A THOMPSON Owner 208-342-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: ID M5883) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2024-08-01 |