SOUTHERN IDAHO PAIN INSTITUTE P.C. NPI 1932381522

NPI Information

SOUTHERN IDAHO PAIN INSTITUTE P.C. is a specialist in Twin Falls, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHERN IDAHO PAIN INSTITUTE P.C. NPI is 1932381522. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

176 FALLS AVENUE
TWIN FALLS, ID
ZIP 83301
Phone: (208) 733-3181
Fax: (208) 733-3168

The provider's authorized official is Clinton L. Dille .
The authorized official title is M.d./anesthesiologist and has the following contact phone number (208) 733-3181.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 11/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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