Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Center for Pain Care P A

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1023024684

Center for Pain Care P A is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Boise, Idaho. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

115 W Main St Ste 102
Boise, ID 83702-7302
Phone: (208) 342-4700
Fax: (208) 342-4710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X

Record details

NPI number1023024684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clinton Mallari — Administrator · (208) 342-4700
NPI enumeratedAugust 1, 2006
Last updated in NPPESJuly 19, 2007
Mailing address115 W Main St, Suite 102, Boise, ID 83702-7302

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