NPI: 1003199829
Provider Name: PLAINS EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PC
Doing Business As: PLAINS EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization
Specialization: Facial Plastic Surgery
Address:
2700 12TH AVE S
SUITE D
FARGO, ND
ZIP 58103
Phone: (701) 235-1924
Get Directions
PLAINS EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PC is a facial plastic surgery otolaryngology in Fargo, ND. The provider is an otolaryngologist who specializes in facial plastic surgery. PLAINS EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PC NPI is 1003199829. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Plains Ear, Nose, Throat & Facial Plastic Surgery.
The provider's business location address is:
2700 12TH AVE S
SUITE D
FARGO, ND
ZIP 58103-723
Phone: (701) 235-1924
The provider's authorized official is Lesley A Soine .
The authorized official title is Owner and has the following contact phone number (701) 235-1924.
The enumeration date for this NPI number is 9/28/2011 and was last updated on 10/21/2016.