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Upper Valley Ent & Allergy Pllc
Medical Physician Assistant in Rexburg, Idaho
NPI 1124462494

Upper Valley Ent & Allergy Pllc is a Medical Physician Assistant based in Rexburg, ID and is specialized in Medical. Upper Valley Ent & Allergy Pllc practices in Rexburg, ID. The NPI Number for Upper Valley Ent & Allergy Pllc is 1124462494 and holds a License No. (Idaho).

The current practice location address for Upper Valley Ent & Allergy Pllc is 256 N 2Nd E, Rexburg, ID and can be reached out via phone at 208-656-9646 and via fax at 208-656-9645.

Location: 256 N 2Nd E, Rexburg, ID, 83440-1638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124462494
Provider Name
Upper Valley Ent & Allergy Pllc
Credential
Provider Entity Type
Organization
Address
256 N 2Nd E, Rexburg, ID, 83440-1638
Phone Number
208-656-9646
Fax Number
208-656-9645
Provider Enumeration Date
04/17/2013
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
256 N 2Nd E
City
Rexburg
State
Idaho
Zip
83440-1638
Phone Number
208-656-9646
Fax Number
208-656-9645
person
Provider Business Mailing Address Details
Address
256 N 2Nd E
City
Rexburg
State
Idaho
Zip
83440-1638
Phone Number
208-656-9646
Fax Number
208-656-9645
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
207KA0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
()
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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