UPPER VALLEY ENT & ALLERGY PLLC NPI 1124462494

NPI Information

UPPER VALLEY ENT & ALLERGY PLLC is an otolaryngology/facial plastic surgery otolaryngology in Rexburg, ID. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. UPPER VALLEY ENT & ALLERGY PLLC NPI is 1124462494. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

256 N 2ND E
REXBURG, ID
ZIP 83440-638
Phone: (208) 656-9646
Fax: (208) 656-9645

The provider's authorized official is Jay Robert Mcmaster .
The authorized official title is Physician/surgeon and has the following contact phone number (208) 656-9646.

The CLIA number assigned to this NPI record is 13D1065502 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2013 and was last updated on 6/11/2014.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.