Organization
MOUNTAIN WEST EAR NOSE AND THROAT, PC
Active
Other names
Dr. Kevin M. Hanks D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MATTHEWS HANKS DO (PHYSICIAN)
(208) 542-5414
Entity
Organization
Contact information
Practice address
3200 CHANNING WAY, SUITE A303, IDAHO FALLS, ID 83404-7546
(208) 542-5414
Mailing address
3200 CHANNING WAY, SUITE A303, IDAHO FALLS, ID 83404-7546
(208) 542-5414
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
07/30/2006
Last updated
08/22/2020
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