Organization
BEACON PAIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBEKAH GUY MD (PHYSICIAN)
(208) 342-2104
Entity
Organization
Contact information
Practice address
115 W MAIN ST, 102, BOISE, ID 83702-7302
(208) 342-2104
(208) 342-4710
Mailing address
115 W MAIN ST, 102, BOISE, ID 83702-7302
(208) 342-2104
(208) 342-4710
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
M9987
ID
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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