PAIN CARE CLINIC OF IDAHO, P.C.

EAGLE, ID
NPI1982093357
Entity TypeOrganization
Authorized ContactEDMUND C BOESE
Owner
208-939-3750
Organization Subpart ?No
Primary Taxonomy261QP3300X Clinic/Center Pain
(Licence: ID  M12565)
Enumeration Date2015-01-22
Last Update Date2015-01-22
Business Address
PAIN CARE CLINIC OF IDAHO, P.C.
742 E STATE ST SUITE 150
EAGLE, ID 83616-5941
Phone number: 208-939-3750
Mailing Address
PAIN CARE CLINIC OF IDAHO, P.C.
742 E STATE ST SIUITE 150
EAGLE, ID 83616-5941
Phone number: 208-939-3750
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