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MV POCATELLO ENT LLC NPI 1154801595


NPI Information

NPI: 1154801595
Provider Name: MV POCATELLO ENT, LLC

Former Legal Business Name: MVH GASTROENTEROLOGY LLC

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 13D0944869

Address:
333 N 18TH AVE STE B3
POCATELLO, ID
ZIP 83201
Phone: (208) 232-2146
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MV POCATELLO ENT, LLC is an otolaryngology in Pocatello, 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. MV POCATELLO ENT, LLC NPI is 1154801595. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Mvh Gastroenterology Llc.

The provider's business location address is:

333 N 18TH AVE STE B3
POCATELLO, ID
ZIP 83201
Phone: (208) 232-2146

The provider's authorized official is Ned Hillyard .
The authorized official title is Chief Compliance Officer and has the following contact phone number (208) 709-4571.

The CLIA number assigned to this NPI record is 13D0944869 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2018 and was last updated on 8/30/2018.


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

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: 11/14/2023

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