NPI 1588832992

Idaho Pain Medicine, LLP

Organisation Interventional Pain Medicine Physician Boise, ID

Practice location

Address: 8950 W Emerald St STE 168, Boise, ID 83704-8296
Phone: (208) 323-6273
Fax: (208) 323-6277

Authorised official

Name: Shane Alan Maxwell
Title: Co-Owner
Phone: (208) 323-6273

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Idaho →

Registry record

NPI: 1588832992
Entity type: Organization
NPI issued: 19 Feb 2008
Record last updated: 19 Feb 2008

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.