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Russell T Snow, D.o., P.a.
Facial Plastic Surgery Physician in Caldwell, Idaho
NPI 1871016048

Russell T Snow, D.o., P.a. is a Facial Plastic Surgery Physician based in Caldwell, ID and is specialized in Facial Plastic Surgery. Russell T Snow, D.o., P.a. practices in Caldwell, ID. The NPI Number for Russell T Snow, D.o., P.a. is 1871016048 and holds a License No. O-110 (Idaho).

The current practice location address for Russell T Snow, D.o., P.a. is 119 W Logan St Ste A, Caldwell, ID and can be reached out via phone at 208-454-2050 and via fax at 208-454-3554.

Location: 119 W Logan St Ste A, Caldwell, ID, 83605-4732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871016048
Provider Name
Russell T Snow, D.o., P.a.
Credential
Provider Entity Type
Organization
Address
119 W Logan St Ste A, Caldwell, ID, 83605-4732
Phone Number
208-454-2050
Fax Number
208-454-3554
Provider Enumeration Date
07/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
119 W Logan St Ste A
City
Caldwell
State
Idaho
Zip
83605-4732
Phone Number
208-454-2050
Fax Number
208-454-3554
person
Provider Business Mailing Address Details
Address
119 W Logan St Ste A
City
Caldwell
State
Idaho
Zip
83605-4732
Phone Number
208-454-2050
Fax Number
208-454-3554
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
O-110 (Idaho)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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