Upper Valley Ent & Allergy Pllc

NPI #1124462494 in Rexburg, Idaho

Provider Information

NPI Number
1124462494
Entity Type
Organization
Organization Name
Upper Valley Ent & Allergy Pllc
Primary Specialty
Otolaryngology - Otolaryngology/Facial Plastic Surgery
Enumeration Date
Apr 17, 2013
Last Updated
Jun 11, 2014

Practice Location

Address
256 N 2ND E
State
Idaho
ZIP Code
83440-1638
Phone
(208) 656-9646

Authorized Official

Name
DR. JAY ROBERT MCMASTER, DO
Title
PHYSICIAN/SURGEON
Phone
(208) 656-9646

Specialties & Taxonomy Codes

Specialty
Allergy & Immunology - AllergyAllergy
Physician Assistant - MedicalMedical
Otolaryngology - Otolaryngology/Facial Plastic SurgeryOtolaryngology/Facial Plastic Surgery

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