Snake River Ear, Nose & Throat Pc in Twin Falls - Specialist
Snake River Ear, Nose & Throat Pc - NPI 1104912740
Snake River Ear, Nose & Throat Pc is a Specialist in Twin Falls, Idaho. Snake River Ear, Nose & Throat Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Snake River Ear, Nose & Throat Pc is 1104912740. The last update date is 2013-01-15.
Snake River Ear, Nose & Throat Pc's current location address is 706 North College Road, Twin Falls, Idaho. You can contact this provider via phone number 2087351000 and fax number 2087325345. The mailing address for Snake River Ear, Nose & Throat Pc is 706 North College Road, Twin Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Snake River Ear, Nose & Throat Pc |
|---|---|
| Address | 706 North College Road, Twin Falls, Idaho |
| Phone Number | 2087351000 |
| Fax Number | 2087325345 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kack Rod |
| Credentials | MD |
| Telephone Number | 2087351000 |
NPI Number Detail
| NPI Number | 1104912740 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2013-01-15 |
Provider Mailing Address Detail
| Address | 706 North College Road |
|---|---|
| City | Twin Falls |
| State | Idaho (ID) |
| Post Code | 83301 |
| Phone Number | 2087351000 |
| Fax Number | 2087325345 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A89785 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 805168100 | ID | -- |
Post Comment/ Review Below
What is the Snake River Ear, Nose & Throat Pc's unique identification number?
The Snake River Ear, Nose & Throat Pc has been assigned the NPI (National Provider Identifier) Number 1104912740 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Snake River Ear, Nose & Throat Pc is located?
The Snake River Ear, Nose & Throat Pc is situated at the following address: 706 North College Road, Twin Falls, ID, 83301.
What is Snake River Ear, Nose & Throat Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Snake River Ear, Nose & Throat Pc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Snake River Ear, Nose & Throat Pc receive the assignment of its 1104912740 from the Centers for Medicare & Medicaid Services?
The Snake River Ear, Nose & Throat Pc was issued its 1104912740 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date was the information regarding Snake River Ear, Nose & Throat Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Snake River Ear, Nose & Throat Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-01-15.