Organization
BOISE PAIN MANAGEMENT
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOSEPH PLYER (NCTMB)
(208) 376-4571
Entity
Organization
Contact information
Practice address
8950 W EMERALD ST STE 150, BOISE, ID 83704-8296
(208) 376-4571
(208) 376-4621
Mailing address
8950 W EMERALD ST STE 150, BOISE, ID 83704-8296
(208) 376-4571
(208) 376-4621
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
155194-00
CA
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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