Organization
INLAND EMPIRE EAR, NOSE THROAT AND ALLERGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD MCCORMICK MD (AUTHORIZED OFFICIAL)
(801) 352-9500
Entity
Organization
Contact information
Practice address
2236 N MERRIT CRK LOOP, SUITE A, COEUR D ALENE, ID 83814-4960
(208) 664-5467
Mailing address
PO BOX 95590, SOUTH JORDAN, UT 84095-0590
(801) 352-9500
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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