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Organization

TREASURE VALLEY PAIN CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TATIANA KHOCHAY APRN-CRNA, NSPM-C (OWNER/PROVIDER)
(208) 794-1559
Entity
Organization

Contact information

Practice address
2102 W EVEREST LN STE 100, MERIDIAN, ID 83646-7033
(208) 505-4744
(844) 402-0970
Mailing address
1067 E AZAN ST, MERIDIAN, ID 83646-7682
(208) 794-1559

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary

Other

Enumeration date
12/18/2023
Last updated
02/24/2026
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