Organization
PAIN CENTER INC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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