Whalio Doctors

NPI 1306291836

Idaho Spine & Pain PLLC

Organisation Interventional Pain Medicine Physician Meridian, ID

Practice location

Address
1859 S Topaz Way STE 106, Meridian, ID 83642-4401
Phone
(208) 672-4640
Fax
(208) 957-6300

Authorised official

Name
Karl R Zarse
Title
Owner
Phone
(208) 672-4640

Registered specialties (3)

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence M13074 (ID)
Pain Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X

Registry record

NPI
1306291836
Entity type
Organization
NPI issued
3 May 2016
Record last updated
10 Sep 2024

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.