Southwest Idaho Ear, Nose and Throat, PA

NPI #1801838180 in Mccall, Idaho

Provider Information

NPI Number: 1801838180
Entity Type: Organization
Organization Name: Southwest Idaho Ear, Nose and Throat, PA
Primary Specialty: Otolaryngology
Enumeration Date: Jun 12, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1000 STATE ST
City: Mccall
State: Idaho
ZIP Code: 83638-3704
Phone: (208) 367-3320

Authorized Official

Name: RYAN PHARIS
Title: ADMINISTRATOR
Phone: (208) 367-3320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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