Provider Demographics
NPI:1700084951
Name:HIGH COUNTRY EAR NOSE AND THROAT PLLC
Entity Type:Organization
Organization Name:HIGH COUNTRY EAR NOSE AND THROAT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:C
Authorized Official - Last Name:NENOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-265-4045
Mailing Address - Street 1:895 STATE FARM RD
Mailing Address - Street 2:STE 303
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607
Mailing Address - Country:US
Mailing Address - Phone:828-265-4045
Mailing Address - Fax:825-265-0899
Practice Address - Street 1:895 STATE FARM RD
Practice Address - Street 2:STE 303
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607
Practice Address - Country:US
Practice Address - Phone:828-265-4045
Practice Address - Fax:825-265-0899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Single Specialty