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Organization
SOUTHERN IDAHO PAIN INSTITUTE P.C.
Active
Organization
SOUTHERN IDAHO PAIN INSTITUTE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON L. DILLE (M.D./ANESTHESIOLOGIST)
(208) 733-3181
Entity
Organization
Contact information
Practice address
176 FALLS AVENUE, TWIN FALLS, ID 83301
(208) 733-3181
(208) 733-3168
Mailing address
176 FALLS AVENUE, TWIN FALLS, ID 83301
(208) 733-3181
(208) 733-3168
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M7113
ID
Other
Enumeration date
12/05/2007
Last updated
11/05/2013
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