Organization
IDAHO PAIN CLINIC PLLC
Active
Other names
Selkirk Interventional Pain
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S ISPIRESCU M.D. (OWNER)
(208) 965-8118
Entity
Organization
Contact information
Practice address
1327 SUPERIOR ST STE 101, SANDPOINT, ID 83864-2742
(208) 965-8118
(208) 965-8128
Mailing address
1327 SUPERIOR ST STE 101, SANDPOINT, ID 83864-2742
(208) 965-8118
(208) 965-8128
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3106958
—
ID
Enumeration date
10/13/2010
Last updated
01/22/2015
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