NPI: 1306944772
Provider Name: ALPINE EAR, NOSE & THROAT, P.C
Doing Business As: ALPINE EAR, NOSE & THROAT
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization
Specialization: Otolaryngology/Facial Plastic Surgery
Address:
2065 E 17TH ST
SUITE B
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 524-7244
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ALPINE EAR, NOSE & THROAT, P.C is an otolaryngology/facial plastic surgery otolaryngology in Idaho Falls, ID. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. ALPINE EAR, NOSE & THROAT, P.C NPI is 1306944772. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Alpine Ear, Nose & Throat.
The provider's business location address is:
2065 E 17TH ST
SUITE B
IDAHO FALLS, ID
ZIP 83404-042
Phone: (208) 524-7244
Fax: (208) 524-1088
The provider's authorized official is Mark Lee Capener .
The authorized official title is Physician and has the following contact phone number (208) 524-7244.
The enumeration date for this NPI number is 9/20/2006 and was last updated on 10/11/2007.