NPI 1154801595

Mv Pocatello Ent, LLC

Organisation Otolaryngology Physician Pocatello, ID

Practice location

Address: 333 N 18th Ave STE B3, Pocatello, ID 83201
Phone: (208) 232-2146
Mailing address: 333 N 18th Ave STE B3, Pocatello, ID 83201-3358

Authorised official

Name: Ned Hillyard
Title: Chief Compliance Officer
Phone: (208) 709-4571

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Idaho →

Registry record

NPI: 1154801595
Entity type: Organization
NPI issued: 15 Aug 2018
Record last updated: 30 Aug 2018

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.