NPI 1902228737

Mark E Freeman M.D. PC

Organisation Plastic Surgery Physician Idaho Falls, ID

Practice location

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

Authorised official

Name: Mark E Freeman
Title: President
Phone: (208) 881-5351

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence M10224 (ID)

Other Plastic Surgery providers in Idaho →

Registry record

NPI: 1902228737
Entity type: Organization
NPI issued: 14 Jan 2014
Record last updated: 14 Jan 2014

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.