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IDAHO EAR CLINIC LLC NPI 1154976983


NPI Information

NPI: 1154976983
Provider Name: IDAHO EAR CLINIC LLC
Classification: Otolaryngology - 207YX0901X
Entity Type: Organization

Specialization: Otology & Neurotology

Address:
1209 N SUMMERBROOK AVE
MERIDIAN, ID
ZIP 83642
Phone: (208) 938-5823
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IDAHO EAR CLINIC LLC is an otology and neurotology otolaryngology in Meridian, ID. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. IDAHO EAR CLINIC LLC NPI is 1154976983. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1209 N SUMMERBROOK AVE
MERIDIAN, ID
ZIP 83642-749
Phone: (208) 938-5823
Fax: (208) 938-5306

The provider's authorized official is James V Crawford .
The authorized official title is Owner and has the following contact phone number (208) 938-5823.

The enumeration date for this NPI number is 8/8/2019 and was last updated on 5/19/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YX0901XOtolaryngologyOtology & NeurotologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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