Pain Care Clinic of Idaho, PC
Pain Care Clinic of Idaho, PC is a Pain Clinic/Center in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2015.
- Licensed in
- ID
- In the registry since
- 2015
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
742 E State St Ste 150Eagle, ID 83616-5941
Phone: (208) 939-3750
Fax: (208) 939-3754
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Clinic/Center (primary) | Taxonomy 261QP3300X · Licence M12565 (ID) |
|---|
Record details
| NPI number | 1982093357 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edmund Boese — Owner · (208) 939-3750 |
| NPI enumerated | January 22, 2015 |
| Last updated in NPPES | January 22, 2015 |
| Mailing address | 742 E State St, Siuite 150, Eagle, ID 83616-5941 |