OrganizationActive
Pain Specialists of Idaho
NPI 1992070809 · Pain Medicine (Anesthesiology) Physician · Idaho Falls, ID
Provider details
- NPI number
- 1992070809
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Cori Anderson, Billing Manager
- License
- SPHY11061 (ID)
Practice location
2375 E Sunnyside Rd Ste J
Idaho Falls, ID 83404-8281
Phone: (208) 522-7246
Fax: (208) 529-2620
Mailing address
2375 E Sunnyside Rd Ste J
Idaho Falls, ID 83404-8281
Registry dates
- Enumerated
- 2012-03-12
- Last updated
- 2012-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.