OrganizationActive
Magic Valley Pain Specialists, PLLC
NPI 1003564998 · Pain Medicine (Anesthesiology) Physician · Burley, ID
Provider details
- NPI number
- 1003564998
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tyler Roe, Owner(208) 678-7246
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1344 Hiland Ave Ste a
Burley, ID 83318-1564
Phone: (208) 678-7246
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 50979
Idaho Falls, ID 83405-0979
Registry dates
- Enumerated
- 2022-03-10
- Last updated
- 2022-09-27
- Certified
- 2022-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.