NPI 1396827150
Mark a Weight, MD
Practice location
- Address
- 2355 Coronado St, Idaho Falls, ID 83404-7407
- Phone
- (208) 523-0303
- Fax
- (208) 523-9815
- Mailing address
- PO Box 1432, Idaho Falls, ID 83403-1432
Registered specialties (3)
Orthopaedic Surgery of the Spine Physician
Primary
Orthopaedic Trauma Physician
Sports Medicine (Orthopaedic Surgery) Physician
Registry record
- NPI
- 1396827150
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Oct 2006
- Record last updated
- 17 Jun 2019
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.