Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Upper Valley ENT & Allergy PLLC

Organization Allergy Physician · NPI 1124462494

Upper Valley ENT & Allergy PLLC is an Allergy Physician in Rexburg, Idaho. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

256 N 2nd E
Rexburg, ID 83440-1638
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/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X
Allergy Physician Taxonomy 207KA0200X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1124462494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay McMaster — Physician/Surgeon · (208) 656-9646
NPI enumeratedApril 17, 2013
Last updated in NPPESJune 11, 2014
Mailing address256 N 2nd E, Rexburg, ID 83440-1638

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