NPI | 1851676258 |
---|---|
Doing Business As | EAST IDAHO INTERVENTIONAL PAIN CENTER |
Entity Type | Organization |
Authorized Contact | HOLLY ZOE Owner 208-523-7246 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2011-10-17 |
Last Update Date | 2011-10-17 |