CRANIOFACIAL PAIN CENTER OF IDAHO

ANCHORAGE, AK
NPI1902144561
Entity TypeOrganization
Authorized ContactROSE MARY MILNER
VP Of Operations
208-376-3600
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2013-01-16
Last Update Date2015-08-31
Business Address
CRANIOFACIAL PAIN CENTER OF IDAHO
3400 LA TOUCHE ST.
ANCHORAGE, AK 99508-4208
Phone number: 208-376-3600
Mailing Address
CRANIOFACIAL PAIN CENTER OF IDAHO
8119 W USTICK RD
BOISE, ID 83704-5754
Phone number: 208-376-3600