# SOUTHERN IDAHO PAIN INSTITUTE P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932381522
- **Authorized official:** CLINTON L. DILLE (M.D./ANESTHESIOLOGIST)
- **Authorized official phone:** (208) 733-3181

## Contact information

- **Practice address:** 176 FALLS AVENUE, TWIN FALLS, ID 83301
- **Practice address phone:** (208) 733-3181
- **Practice address fax:** (208) 733-3168
- **Mailing address:** 176 FALLS AVENUE, TWIN FALLS, ID 83301
- **Mailing address phone:** (208) 733-3181
- **Mailing address fax:** (208) 733-3168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | M7113 | ID | Yes |

## Other

- **Enumeration date:** 12/05/2007
- **Last updated:** 11/05/2013