Beacon Pain Clinic
Beacon Pain Clinic is an Interventional Pain Medicine Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2014.
- Licensed in
- ID
- In the registry since
- 2014
Practice location Address checks out
115 W Main St 102Boise, ID 83702-7302
Phone: (208) 342-2104
Fax: (208) 342-4710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X · Licence M9987 (ID) |
|---|
Record details
| NPI number | 1477941672 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rebekah Guy — Physician · (208) 342-2104 |
| NPI enumerated | December 23, 2014 |
| Last updated in NPPES | December 23, 2014 |
| Mailing address | 115 W Main St, 102, Boise, ID 83702-7302 |
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