# CACHE VALLEY EAR NOSE & THROAT, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CACHE VALLEY EAR NOSE AND THROAT.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548303795
- **Authorized official:** LINSEY THALMAN (BILLING SPECIALIST)
- **Authorized official phone:** (435) 753-7880

## Contact information

- **Practice address:** 2245 N 400 E, STE 301, NORTH LOGAN, UT 84341-1892
- **Practice address phone:** (435) 753-7880
- **Practice address fax:** (435) 359-4507
- **Mailing address:** 2245 N 400 E STE 301, NORTH LOGAN, UT 84341-1892
- **Mailing address phone:** (435) 753-7880
- **Mailing address fax:** (435) 359-4507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | C97276 | UT | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 06/24/2022