NPI 1821156365

Richard Alan Dubose, MD

Practitioner Pain Medicine Physician Boise, ID

Practice location

Address: 600 N Robbins Rd Suite 300, Boise, ID 83702-4565
Phone: (208) 489-4016
Fax: (208) 489-4015
Mailing address: PO Box 1128, Boise, ID 83701-1128

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence M7865 (ID)

Other Pain Medicine providers in Idaho →

Registry record

NPI: 1821156365
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2006
Record last updated: 15 Jan 2013

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.