Whalio Doctors

NPI 1598805830

Mark Macumber, MD

Practitioner Phlebology Physician Meridian, ID

Practice location

Address
3277 E Louise Dr STE 360, Meridian, ID 83642-9359
Phone
(208) 600-1550
Fax
(208) 600-1551
Mailing address
3114 W Irving Park Rd STE 1w, Chicago, IL 60618-3435

Registered specialties (2)

Phlebology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 036-096467 (IL)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 036096467 (IL)

Registry record

NPI
1598805830
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Feb 2007
Record last updated
14 May 2024

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.