institution
Exodus Pain Clinic
Interventional Pain Medicine Physician in Boise, Idaho
NPI 1366849572

Exodus Pain Clinic is a Interventional Pain Medicine Physician based in Boise, ID and is specialized in Interventional Pain Medicine. Exodus Pain Clinic practices in Boise, ID. The NPI Number for Exodus Pain Clinic is 1366849572 and holds a License No. M9452 (Idaho).

The current practice location address for Exodus Pain Clinic is 987 S Allante Pl, Boise, ID and can be reached out via phone at 208-947-7246 and via fax at 208-297-7772.

Location: 987 S Allante Pl, Boise, ID, 83709-1612
institution
Provider Profile Details
NPI Number
1366849572
Provider Name
Exodus Pain Clinic
Credential
Provider Entity Type
Organization
Address
987 S Allante Pl, Boise, ID, 83709-1612
Phone Number
208-947-7246
Fax Number
208-297-7772
Provider Enumeration Date
12/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356377535 05 ID
institution
Provider Business Practice Location Address Details
Address
987 S Allante Pl
City
State
Zip
83709-1612
Phone Number
208-947-7246
Fax Number
208-297-7772
person
Provider Business Mailing Address Details
Address
987 S Allante Pl
City
State
Zip
83709-1612
Phone Number
208-947-7246
Fax Number
208-297-7772
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
License No.
M9452 (Idaho)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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