OrganizationActive
Evolution Joint Pain Clinic
NPI 1932871985 · Physical Medicine & Rehabilitation Physician · Eagle, ID
Provider details
- NPI number
- 1932871985
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jeremy Payne, Owner
Practice location
947 E Winding Creek Dr Ste 200
Eagle, ID 83616-7231
Phone: (208) 917-2928
Mailing address
947 E Winding Creek Dr Ste 200
Eagle, ID 83616-7231
Registry dates
- Enumerated
- 2021-09-29
- Last updated
- 2021-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.