OrganizationActive
Craniofacial Pain Center of Idaho
NPI 1902144561 · Durable Medical Equipment & Medical Supplies · Anchorage, AK
Provider details
- NPI number
- 1902144561
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Rose Milner, Vp of Operations(208) 376-3600
Specialties & taxonomies
Suppliers
Practice location
3400 La Touche St.
Anchorage, AK 99508-4208
Phone: (208) 376-3600
Fax: (208) 376-3616
Approximate (ZIP-level) locationGet directions
Mailing address
8119 W Ustick Rd
Boise, ID 83704-5754
Registry dates
- Enumerated
- 2013-01-16
- Last updated
- 2015-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.