Madison Ear Nose and Throat Clinic
Madison Ear Nose and Throat Clinic is an Otolaryngology Physician in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
Practice location Address checks out
30 Madison Professional ParkRexburg, ID 83440-2058
Phone: (208) 656-9646
Fax: (208) 656-9645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 40 (ID) |
|---|
Record details
| NPI number | 1265458400 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debbie Bulstrode — Office Manager · (208) 656-9646 |
| NPI enumerated | July 14, 2006 |
| Last updated in NPPES | January 17, 2012 |
| Mailing address | 30 Madison Professional Park, Rexburg, ID 83440-0828 |