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

Exodus Pain Clinic

Organization Interventional Pain Medicine Physician · NPI 1366849572

Exodus 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
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Practice location Address checks out

987 S Allante Pl
Boise, ID 83709-1612
Phone: (208) 947-7246
Fax: (208) 297-7772
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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 M9452 (ID)

Record details

NPI number1366849572
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Marsh — Md/Owner · (208) 994-2907
NPI enumeratedDecember 3, 2014
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023
Mailing address987 S Allante Pl, Boise, ID 83709-1612

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