Organization
PAIN CARE CENTER BOISE, LLC
Active
Other names
Pain Care Boise
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G BINEGAR MD (PRESIDENT/OWNER)
(208) 342-8200
Entity
Organization
Contact information
Practice address
301 W MYRTLE ST, BOISE, ID 83702-7656
(208) 342-8200
(208) 343-8202
Mailing address
301 W MYRTLE ST, BOISE, ID 83702-7656
(208) 342-8200
(208) 342-8202
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806893300
—
ID
Enumeration date
07/23/2006
Last updated
06/08/2011
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