Organization · Type 2 NPI
East Idaho Ear Nose Throat-Facial Plastic Surgery PA
Pediatric Otolaryngology Physician · Rigby, ID
Practice location
527 Rigby Lake Dr Ste C
Rigby, ID 83442-5117
Fax (208) 522-0550
Mailing address
PO Box 1405
Idaho Falls, ID 83403-1405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Otolaryngology Physician Primary | 207YP0228X | M10574 (ID) |
Pediatric Otolaryngology Physician: A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearin…
4 other providers at this address
About NPI 1275808750
East Idaho Ear Nose Throat-Facial Plastic Surgery PA's National Provider Identifier is 1275808750, issued on Mar 15, 2012. The primary taxonomy on file is Pediatric Otolaryngology Physician (207YP0228X), and the practice location is in Rigby, ID. The record was last updated on Mar 5, 2026.