IndividualActive
Slavik Osipchuk, NP
NPI 1164043162 · Pain Medicine Physician · Boise, ID
Provider details
- NPI number
- 1164043162
- Entity type
- Individual
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- NP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 62202 (ID)
Practice location
987 S Allante Pl
Boise, ID 83709-1612
Phone: (208) 947-7246
Fax: (208) 297-7772
Mailing address
987 S Allante Pl
Boise, ID 83709-1612
Registry dates
- Enumerated
- 2020-04-30
- Last updated
- 2025-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.