DR. Thomas R Detar, M.D., F.A.C.S.

NPI #1548265028 in Post Falls, Idaho

Provider Information

NPI Number: 1548265028
Entity Type: Individual
Name: DR. Thomas R Detar, M.D., F.A.C.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: M.D., F.A.C.S.
Enumeration Date: Jun 20, 2005
Last Updated: Feb 6, 2024

Practice Location

Address: 849 N SYRINGA ST
City: Post Falls
State: Idaho
ZIP Code: 83854-8794
Phone: (208) 777-1320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Otolaryngology	207Y00000X	Primary

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