Magic Valley Pain Specialists, Pllc

LBN: Magic Valley Pain Specialists, Pllc
Magic Valley Pain Specialists, Pllc is an health care organization with primary practice located at 1344 Hiland Ave Ste A , Burley ID 83318-1564. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Magic Valley Pain Specialists, Pllc can be contacted via phone (208) 678-7246, or through Roe, Tyler C via phone (208) 678-7246.

Contact Information

Primary practice address
1344 Hiland Ave Ste A Burley ID 83318-1564
Phone: (208) 678-7246
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roe, Tyler C Doctor of Osteopathy (DO)
Phone: (208) 678-7246

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1003564998
LBN Legal business name Magic Valley Pain Specialists, Pllc
DBA Doing business as
Authorized official Roe, Tyler C Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2022
Last updated Sep 27th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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