=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881620680
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | H PETER DOBLE II M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/23/2006
-----------------------------------------------------
Last Update Date | 01/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 526 SHOUP AVE W STE M
-----------------------------------------------------
City | TWIN FALLS
-----------------------------------------------------
State | ID
-----------------------------------------------------
Zip | 83301-5050
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 208-734-4555
-----------------------------------------------------
Fax | 208-734-3632
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 526 SHOUP AVE W STE M
-----------------------------------------------------
City | TWIN FALLS
-----------------------------------------------------
State | ID
-----------------------------------------------------
Zip | 83301-5050
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 208-734-4555
-----------------------------------------------------
Fax | 208-734-3632
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Y00000X
-----------------------------------------------------
Taxonomy Name | Otolaryngology Physician
-----------------------------------------------------
License Number | M5706
-----------------------------------------------------
License Number State | ID
-----------------------------------------------------