Organization
SYNERGY PAIN MANAGEMENT AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY OSTLER MD (OWNER)
(208) 229-7075
Entity
Organization
Contact information
Practice address
875 E PLAZA DR, EAGLE, ID 83616-6548
(208) 229-7075
(208) 229-7076
Mailing address
PO BOX 434, EAGLE, ID 83616-0434
(208) 229-7075
(208) 229-7076
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/15/2010
Last updated
08/18/2011
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