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Organization
PAIN RELIEF INSTITUTE
Active
Organization
PAIN RELIEF INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON WEST (PRESIDENT)
(208) 403-2660
Entity
Organization
Contact information
Practice address
755 YELLOWSTONE AVE, SUITE 182, POCATELLO, ID 83201-4406
(208) 403-2660
Mailing address
755 YELLOWSTONE AVE, SUITE 182, POCATELLO, ID 83201-4406
(208) 403-2660
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/19/2009
Last updated
01/19/2009
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