Organization
PHOENIX HEALTH LLC
Active
Other names
PIBCOA-The Pain, Injury and Brain Centers of America
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE JONES RN (OWNER/CLINICIAN)
(208) 996-0099
Entity
Organization
Contact information
Practice address
3142 W BELLTOWER DR, MERIDIAN, ID 83646-4882
(208) 996-0099
Mailing address
3142 W BELLTOWER DR, MERIDIAN, ID 83646-4882
(208) 996-0099
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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