IndividualActive
Russell Snow, DO
NPI 1104932839 · Otolaryngology/Facial Plastic Surgery Physician · Caldwell, ID
Provider details
- NPI number
- 1104932839
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 0110 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
119 West Logan Street
Ste a
Caldwell, ID 83605
Phone: (208) 454-2050
Fax: (208) 454-3554
Approximate (ZIP-level) locationGet directions
Mailing address
119 West Logan Street
Caldwell, ID 83605
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2011-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.