A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
taxonomy 332900000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
East Idaho Interventional Pain Center
Type code 3recorded 2011-10-17
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
Subpart of Zoe Interventional Pain Management.
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