Organization
PAIN CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA A THOMPSON M.D. (OWNER)
(208) 342-9800
Entity
Organization
Contact information
Practice address
633 N 4TH ST, BOISE, ID 83702-4510
(208) 342-9800
(208) 342-4223
Mailing address
633 N 4TH ST, BOISE, ID 83702-4510
(208) 342-9800
(208) 342-4223
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
261QP3300X
Pain Clinic/Center
Primary
M5883
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004277900
—
ID
Enumeration date
12/02/2010
Last updated
08/01/2024
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