NPI 1104912740

Snake River Ear, Nose & Throat PC

Organisation Specialist Twin Falls, ID

Practice location

Address: 706 North College Road Suite C, Twin Falls, ID 83301
Phone: (208) 735-1000
Fax: (208) 732-5345

Authorised official

Name: Rod Kack
Title: Owner
Phone: (208) 735-1000

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence A89785 (ID)

Other Specialist providers in Idaho →

Registry record

NPI: 1104912740
Entity type: Organization
NPI issued: 4 Oct 2006
Record last updated: 15 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.