IDAHO PAIN CLINIC PLLC NPI 1417267329

NPI Information

IDAHO PAIN CLINIC PLLC is a pain medicine anesthesiology in Sandpoint, ID. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. IDAHO PAIN CLINIC PLLC NPI is 1417267329. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Selkirk Interventional Pain.

The provider's business location address is:

1327 SUPERIOR ST STE 101
SANDPOINT, ID
ZIP 83864-742
Phone: (208) 965-8118
Fax: (208) 965-8128

The provider's authorized official is Jeffrey S Ispirescu .
The authorized official title is Owner and has the following contact phone number (208) 965-8118.

The CLIA number assigned to this NPI record is 13D2016348 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/13/2010 and was last updated on 1/22/2015.

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

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