Alpine Ear, Nose & Throat, P.c

NPI #1306944772 in Idaho Falls, Idaho

Provider Information

NPI Number
1306944772
Entity Type
Organization
Organization Name
Alpine Ear, Nose & Throat, P.c
Primary Specialty
Otolaryngology - Otolaryngology/Facial Plastic Surgery
Enumeration Date
Sep 20, 2006
Last Updated
Oct 11, 2007

Practice Location

Address
2065 E 17TH ST
Address 2
SUITE B
State
Idaho
ZIP Code
83404-8042
Phone
(208) 524-7244

Authorized Official

Name
DR. MARK LEE CAPENER, M.D.
Title
PHYSICIAN
Phone
(208) 524-7244

Specialties & Taxonomy Codes

Specialty
Otolaryngology - Otolaryngology/Facial Plastic SurgeryOtolaryngology/Facial Plastic Surgery

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