Whalio Doctors

NPI 1396827150

Mark a Weight, MD

Practitioner Orthopaedic Surgery of the Spine Physician Idaho Falls, ID

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
Allopathic & Osteopathic Physicians Taxonomy 207XS0117X Licence M9283 (ID)
Orthopaedic Trauma Physician
Allopathic & Osteopathic Physicians Taxonomy 207XX0801X Licence M9283 (ID)
Sports Medicine (Orthopaedic Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence M9283 (ID)

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.