Organization
IDAHO SPINE & PAIN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL R ZARSE M.D. (OWNER)
(208) 672-4640
Entity
Organization
Contact information
Practice address
1859 S TOPAZ WAY STE 106, MERIDIAN, ID 83642-4401
(208) 672-4640
(208) 957-6300
Mailing address
1859 S TOPAZ WAY STE 106, MERIDIAN, ID 83642-4401
(208) 672-4640
(208) 957-6300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M13074
ID
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329858YP64
MEDICARE TX
TX
01
—
M13074
IDAHO STATE BOARD OF MEDICINE
ID
01
—
P01568801
RAILROAD MEDICARE
TX
Enumeration date
05/03/2016
Last updated
09/10/2024
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