Organization · Type 2 NPI
Russell T Snow, D.o., P.a.
Facial Plastic Surgery Physician · Caldwell, ID
NPI number
1871016048
Active
Practice location
119 W Logan St Ste A
Caldwell, ID 83605-4732
Fax (208) 454-3554
Other practice locations
- 1202 E Locust St, Emmett, ID 83617-2715 · (208) 454-2050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | O-110 (ID) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
About NPI 1871016048
Russell T Snow, D.o., P.a.'s National Provider Identifier is 1871016048, issued on Jul 19, 2017. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Caldwell, ID. The record was last updated on Jul 21, 2022.