Evolution Joint Pain Clinic
Evolution Joint Pain Clinic is a Registered Nurse in Eagle, Idaho. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
947 E Winding Creek Dr Ste 200Eagle, ID 83616-7231
Phone: (208) 917-2928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X |
|---|---|
| Registered Nurse | Taxonomy 163W00000X |
| Pain Medicine Physician | Taxonomy 208VP0000X |
Record details
| NPI number | 1932871985 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeremy Payne — Owner · (503) 756-5317 |
| NPI enumerated | September 29, 2021 |
| Last updated in NPPES | October 21, 2021 |
| Certification date | October 21, 2021 |
| Mailing address | 947 E Winding Creek Dr Ste 200, Eagle, ID 83616-7231 |
Other providers in Eagle
-
Mr. Victor Dimbi
3249 W Bolton Ct, Eagle, ID 83616-6827 · (208) 899-6262
-
Sharon L Krasovich, MS, RN, FNP-BC
3101 E State St Ste 2120, Eagle, ID 83616-6232 · (208) 473-3275
-
Brigette Marie McCoy, RN, MSN, FNP-S
323 E Riverside Dr Ste 224, Eagle, ID 83616-6865 · (208) 302-6000
-
Susan Marguerite Owen
2862 E Shadowview St, Eagle, ID 83616-5670 · (208) 801-3728
-
Joshua Shultz, RN
5445 W Saguaro Dr, Eagle, ID 83616-6261 · (805) 794-7186