Russell T Snow, D.o., P.a.

NPI #1871016048 in Caldwell, Idaho

Provider Information

NPI Number
1871016048
Entity Type
Organization
Organization Name
Russell T Snow, D.o., P.a.
Primary Specialty
Otolaryngology - Facial Plastic Surgery
Enumeration Date
Jul 19, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
119 W LOGAN ST STE A
State
Idaho
ZIP Code
83605-4732
Phone
(208) 454-2050

Authorized Official

Name
RUSSELL T SNOW, D.O.
Title
PRESIDENT
Phone
(208) 454-2050

Specialties & Taxonomy Codes

Specialty
Otolaryngology - Facial Plastic SurgeryFacial Plastic Surgery

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