Individual
DR. RUSSELL TURNER SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
119 WEST LOGAN STREET, STE A, CALDWELL, ID 83605
(208) 454-2050
(208) 454-3554
Mailing address
119 WEST LOGAN STREET, STE A, CALDWELL, ID 83605
(208) 454-2050
(208) 454-3554
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
0110
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002697800
—
ID
Enumeration date
08/23/2006
Last updated
09/02/2011
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