Organization
SOUTHWEST IDAHO EAR, NOSE AND THROAT, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PHARIS (ADMINISTRATOR)
(208) 367-3320
Entity
Organization
Contact information
Practice address
1000 STATE ST, MCCALL, ID 83638-3704
(208) 367-3320
Mailing address
900 N LIBERTY ST, STE 400, BOISE, ID 83704-8704
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/12/2006
Last updated
08/22/2020
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