NPI 1114171519

Advanced Pain Management PLLC

Organisation Pain Medicine (Anesthesiology) Physician Meridian, ID

Practice location

Address: 2275 So Eagle Rd Sute 160, Meridian, ID 83642
Phone: (208) 947-2266
Fax: (208) 947-2267
Mailing address: 6140 Curtisian Ave Suite 400, Boise, ID 83704-8880

Authorised official

Name: Michael Dale Severson
Title: Member
Phone: (208) 880-9464

Registered specialties

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X

Other Anesthesiology providers in Idaho →

Registry record

NPI: 1114171519
Entity type: Organization
NPI issued: 11 Nov 2008
Record last updated: 23 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.