Organization
SIPI CLINIC LLC
Active
Other names
Southern Idaho Pain Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE RUE (OFFICE MANAGER)
(208) 733-3181
Entity
Organization
Contact information
Practice address
176 FALLS AVE, TWIN FALLS, ID 83301-2306
(208) 733-3181
(208) 733-3168
Mailing address
176 FALLS AVE, TWIN FALLS, ID 83301-2306
(208) 733-3181
(208) 733-3168
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/06/2023
Last updated
05/06/2024
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