# ALPINE EAR, NOSE & THROAT, P.C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Alpine Ear, Nose & Throat
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306944772
- **Authorized official:** DR. MARK LEE CAPENER M.D. (PHYSICIAN)
- **Authorized official phone:** (208) 524-7244

## Contact information

- **Practice address:** 2065 E 17TH ST, SUITE B, IDAHO FALLS, ID 83404-8042
- **Practice address phone:** (208) 524-7244
- **Practice address fax:** (208) 524-1088
- **Mailing address:** 2065 E 17TH ST, SUITE B, IDAHO FALLS, ID 83404-8042
- **Mailing address phone:** (208) 524-7244
- **Mailing address fax:** (208) 524-1088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 10/11/2007