OrganizationActive
Russell T Snow, D.O., P.A.
NPI 1871016048 · Facial Plastic Surgery Physician · Caldwell, ID
Provider details
- NPI number
- 1871016048
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Russell Snow, President(208) 454-2050
- License
- O-110 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
119 W Logan St Ste a
Caldwell, ID 83605-4732
Phone: (208) 454-2050
Fax: (208) 454-3554
Approximate (ZIP-level) locationGet directions
Mailing address
119 W Logan St Ste a
Caldwell, ID 83605-4732
Additional practice locations (1)
- 1202 E Locust StEmmett, ID 83617-2715Phone: (208) 454-2050Fax: (208) 454-3554
Registry dates
- Enumerated
- 2017-07-19
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.