Organization
RICHARD J. PINES, D.O., PLLC
Active
Organization
RICHARD J. PINES, D.O., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOHN PINES DO (OWNER)
(208) 995-9272
Entity
Organization
Contact information
Practice address
413 N ALLUMBAUGH ST STE 101, BOISE, ID 83704-9219
(208) 323-1125
Mailing address
615 S GREY PINE LN, BOISE, ID 83709-2604
(208) 995-9272
(208) 344-1296
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0184
ID
Other
Enumeration date
10/04/2017
Last updated
04/21/2021
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