OrganizationActive
Center for Pain Care P a
NPI 1023024684 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Boise, ID
Provider details
- NPI number
- 1023024684
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clinton Mallari, Administrator(208) 342-4700
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
115 W Main St
Suite 102
Boise, ID 83702-7302
Phone: (208) 342-4700
Fax: (208) 342-4710
Approximate (ZIP-level) locationGet directions
Mailing address
115 W Main St
Boise, ID 83702-7302
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2007-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.