NPI 1831534924

Mark E Freeman MD PC

Organisation Plastic Surgery Physician Idaho Falls, ID

Practice location

Address: 3760 Washington Pkwy, Idaho Falls, ID 83404-7593
Phone: (208) 881-5351

Authorised official

Name: Katie Davenport
Title: Billing
Phone: (208) 520-2636

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Idaho →

Registry record

NPI: 1831534924
Entity type: Organization
NPI issued: 3 May 2013
Record last updated: 3 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.