| Richard J. Pines, D.o., Pllc | |
|
413 N Allumbaugh St Ste 101 Boise ID 83704-9219 | |
| (208) 323-1125 | |
| Not Available |
| Full Name | Richard J. Pines, D.o., Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 413 N Allumbaugh St Ste 101, Boise, Idaho |
| Authorized Official Name and Position | Richard John Pines (OWNER) |
| Authorized Official Contact | 2089959272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J. Pines, D.o., Pllc 615 S Grey Pine Ln Boise ID 83709-2604 Ph: (208) 995-9272 | Richard J. Pines, D.o., Pllc 413 N Allumbaugh St Ste 101 Boise ID 83704-9219 Ph: (208) 323-1125 |
| NPI Number | 1801306873 |
|---|---|
| Provider Enumeration Date | 10/04/2017 |
| Last Update Date | 04/21/2021 |
| Certification Date | 04/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801306873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0184 (Idaho) | Primary |
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