NPI 1477941672

Beacon Pain Clinic

Organisation Interventional Pain Medicine Physician Boise, ID

Practice location

Address: 115 W Main St 102, Boise, ID 83702-7302
Phone: (208) 342-2104
Fax: (208) 342-4710

Authorised official

Name: Rebekah Guy
Title: Physician
Phone: (208) 342-2104

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence M9987 (ID)

Other Pain Medicine providers in Idaho →

Registry record

NPI: 1477941672
Entity type: Organization
NPI issued: 23 Dec 2014
Record last updated: 23 Dec 2014

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.