NPI age
6 years
Enumerated 2020-01-14
Across 18 active physical medicine & rehabilitation providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 009509 |
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Beacon Pain Clinic.
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