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Organization

REBEKAH GUY

Active
Parent organization
BEACON PAIN CLINIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BEACON PAIN CLINIC
Authorized official
REBEKAH ELIZABETH GUY MD (OWNER)
(208) 342-2104
Entity
Organization

Contact information

Practice address
115 W MAIN ST STE 201, BOISE, ID 83702-7303
(208) 342-2104
(208) 549-7559
Mailing address
115 W MAIN ST STE 201, BOISE, ID 83702-7303
(208) 342-2104
(208) 549-7559

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009509
ID
Enumeration date
01/14/2020
Last updated
02/14/2024
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