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Organization

THE PAIN CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA A THOMPSON M.D. (MD)
(208) 342-9800
Entity
Organization

Contact information

Practice address
1673 W. SHORELINE DR., STE 100, BOISE, ID 83702
(208) 342-9800
(208) 342-4223
Mailing address
1673 W. SHORELINE DR., STE 100, BOISE, ID 83702
(208) 342-9800
(208) 342-4223

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
M5883
ID

Other

Enumeration date
11/23/2007
Last updated
11/23/2007
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