NPI 1003819459

Mark J Boerner, MD

Practitioner Ophthalmology Physician Boise, ID

Practice location

Address: 111 W Main St STE 200, Boise, ID 83702-7308
Phone: (208) 344-3220
Fax: (208) 344-0461

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence M7206 (ID)

Other Ophthalmology providers in Idaho →

Registry record

NPI: 1003819459
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2005
Record last updated: 15 Apr 2020

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.