OrganizationActive
Interventional Pain Consultants PA
NPI 1629229869 · Interventional Pain Medicine Physician · Lewiston, ID
Provider details
- NPI number
- 1629229869
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Teri Paluso, Administrator(208) 748-4315
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2841 Juniper Dr
Lewiston, ID 83501-4719
Phone: (208) 743-9712
Fax: (208) 298-0212
Approximate (ZIP-level) locationGet directions
Mailing address
2841 Juniper Dr
Lewiston, ID 83501-4719
Registry dates
- Enumerated
- 2008-10-07
- Last updated
- 2008-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.