The Pain Center

NPI 1265613905 - Clinic/Center - 261QP3300X

NPI Details
NPI 1265613905
Enumeration Date 11/23/2007
Last Updated 11/23/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SANDRA A SANDRA
Position MD
Phone (208) 342-9800
Fax (208) 342-4223
Practice Location
1673 W. SHORELINE DR.
STE 100
BOISE ID, 83702, US
Phone (208) 342-9800
Fax (208) 342-4223
Business Location
1673 W. SHORELINE DR.
STE 100
BOISE ID, 83702, US
Phone (208) 342-9800
Fax (208) 342-4223
Toxanomy
Taxonomy Code 261QP3300X
License State Idaho
License Number M5883
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According to our database, The Pain Center NPI is 1265613905, taxonomy code is 261QP3300X and license number is M5883, license state is located at Idaho. The Pain Center physically located at 1673 W. Shoreline Dr., Boise ID, 83702. NPI Number 1033115704 has the healthcare provider type.

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1265613905 NPI number is provided on an as is basis without warranty of any kind. 1265613905 is maintained by the National Plan & Provider Enumeration System. The contents of The Pain Center are for informational purposes only.