RUSSELL T SNOW D.O. P.A. NPI 1871016048

NPI Information

RUSSELL T SNOW, D.O., P.A. is a facial plastic surgery otolaryngology in Caldwell, ID. The provider is an otolaryngologist who specializes in facial plastic surgery. RUSSELL T SNOW, D.O., P.A. NPI is 1871016048. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

119 W LOGAN ST STE A
CALDWELL, ID
ZIP 83605-732
Phone: (208) 454-2050
Fax: (208) 454-3554

The provider's authorized official is Russell T Snow .
The authorized official title is President and has the following contact phone number (208) 454-2050.

The enumeration date for this NPI number is 7/19/2017 and was last updated on 3/17/2018.

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:

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