NPI 1366849572

Exodus Pain Clinic

Organisation Interventional Pain Medicine Physician Boise, ID

Practice location

Address: 987 S Allante Pl, Boise, ID 83709-1612
Phone: (208) 947-7246
Fax: (208) 297-7772

Authorised official

Name: Daniel Marsh
Title: Md/Owner
Phone: (208) 994-2907

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence M9452 (ID)

Other Pain Medicine providers in Idaho →

Registry record

NPI: 1366849572
Entity type: Organization
NPI issued: 3 Dec 2014
Record last updated: 22 Jun 2023

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.