Organization
PAIN SPECIALISTS OF IDAHO
Active
Organization
PAIN SPECIALISTS OF IDAHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON M POSTON MD (OWNER)
(208) 522-7246
Entity
Organization
Contact information
Practice address
2375 E SUNNYSIDE RD, SUITE 'J', IDAHO FALLS, ID 83404-8280
(208) 522-7246
Mailing address
2375 E SUNNYSIDE RD, SUITE 'J', IDAHO FALLS, ID 83404-8280
(208) 522-7246
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
M-11061
ID
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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