NPI 1730140682

Idaho Interventional Pain Center

Organisation Pain Medicine Physician Boise, ID

Practice location

Address: 8950 W Emerald STE 164, Boise, ID 83704
Phone: (208) 323-6273
Fax: (208) 323-6277

Authorised official

Name: Richard Alan Dubose
Title: President
Phone: (208) 323-6273

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Idaho →

Registry record

NPI: 1730140682
Entity type: Organization
NPI issued: 30 Mar 2006
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.