NPIRadar

Slavik Osipchuk, NP Valid NPI

Individual provider · Pain Medicine Physician · Boise, ID

NPI
1164043162
Type
Individual (Type 1)
Primary specialty
Pain Medicine Physician (Pain Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
208VP0000X
License number
62202 (ID)
Sex
Male
Sole proprietor
Yes
Enumerated
2020-04-30
Last updated
2025-01-14
Practice location
987 S Allante Pl
Boise, ID 83709-1612
(208) 947-7246

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