Inland Empire Ear, Nose Throat and Allergy, Pllc

NPI #1558809160 in Coeur D Alene, Idaho

Provider Information

NPI Number
1558809160
Entity Type
Organization
Organization Name
Inland Empire Ear, Nose Throat and Allergy, Pllc
Primary Specialty
Otolaryngology
Enumeration Date
Feb 2, 2017
Last Updated
Feb 2, 2017

Practice Location

Address
2236 N MERRIT CRK LOOP
Address 2
SUITE A
State
Idaho
ZIP Code
83814-4960
Phone
(208) 664-5467

Authorized Official

Name
CHAD MCCORMICK, MD
Title
AUTHORIZED OFFICIAL
Phone
(801) 352-9500

Specialties & Taxonomy Codes

Specialty
Otolaryngology

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