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SOUTHWEST IDAHO EAR NOSE AND THROAT NPI 1306823125


NPI Information

NPI: 1306823125
Provider Name: SOUTHWEST IDAHO EAR, NOSE AND THROAT
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 13D0521880

Address:
900 N LIBERTY ST
STE 400
BOISE, ID
ZIP 83704
Phone: (208) 367-3320
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SOUTHWEST IDAHO EAR, NOSE AND THROAT is an otolaryngology in Boise, ID. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. SOUTHWEST IDAHO EAR, NOSE AND THROAT NPI is 1306823125. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 N LIBERTY ST
STE 400
BOISE, ID
ZIP 83704-704
Phone: (208) 367-3320
Fax: (208) 367-7474

The provider's authorized official is Arthur C Jones .
The authorized official title is President and has the following contact phone number (208) 367-3320.

The CLIA number assigned to this NPI record is 13D0521880 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 6/1/2010.


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
1207Y00000XOtolaryngologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11375148MEDICARE PIN

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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