| Organization Name: | PLAINS EAR NOSE THROAT & FACIAL PLASTICS, INC |
| NPI Number: | 1003199829 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LESLEY A SOINE (OWNER) |
| Mailing Address: | 2700 12th Ave S Suite D Fargo |
| State: | ND US |
| Postal Code: | 581038723 |
| Phone Number: | 7012351924 |
| Fax Number: | 7012356304 |
| NPI Enumeration Date: | 09/28/2011 |
| NPI Last Update Date: | 01/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YS0123X |
| License Number: | 10000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |