Organization · Type 2 NPI
Upper Valley Ent & Allergy PLLC
Otolaryngology/Facial Plastic Surgery Physician · Rexburg, ID
NPI number
1124462494
Active
Practice location
256 N 2nd E
Rexburg, ID 83440-1638
Fax (208) 656-9645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician | 207KA0200X | None listed |
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
4 other providers at this address
- Barry John Peterson, DOOtolaryngology/Facial Plastic Surgery Physician Rexburg, ID NPI 1447456272
- Chris Chadwick Fugate, CRNACertified Registered Nurse Anesthetist Rexburg, ID NPI 1174693543
- Dan Loren Weber, PA-CPhysician Assistant Rexburg, ID NPI 1962438812
- Jay Robert McMaster, DOOtolaryngology/Facial Plastic Surgery Physician Rexburg, ID NPI 1972537892
About NPI 1124462494
Upper Valley Ent & Allergy PLLC's National Provider Identifier is 1124462494, issued on Apr 17, 2013. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Rexburg, ID. The record was last updated on Jun 11, 2014.