NPI 1629229869

Interventional Pain Consultants PA

Organisation Interventional Pain Medicine Physician Lewiston, ID

Practice location

Address: 2841 Juniper Dr, Lewiston, ID 83501-4719
Phone: (208) 743-9712
Fax: (208) 298-0212

Authorised official

Name: Teri Paluso
Title: Administrator
Phone: (208) 748-4315

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Idaho →

Registry record

NPI: 1629229869
Entity type: Organization
NPI issued: 7 Oct 2008
Record last updated: 7 Oct 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.