St Josephs Ear Nose and Throat Clinic Pllc

NPI #1952355539 in Post Falls, Idaho

Provider Information

NPI Number: 1952355539
Entity Type: Organization
Organization Name: St Josephs Ear Nose and Throat Clinic Pllc
Primary Specialty: Specialist
Enumeration Date: May 19, 2006
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

Authorized Official

Name: DR. THOMAS R DETAR, M.D., F.A.C.S.
Title: OWNER/MEMBER
Phone: (208) 777-1320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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