NPI 1750489100

Mark Lee Capener, MD

Practitioner Otolaryngology Physician Idaho Falls, ID

Practice location

Address: 2065 E 17th St Suite B-2, Idaho Falls, ID 83404-8042
Phone: (208) 524-7244
Fax: (208) 524-1088

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 8394 (ID)

Other Otolaryngology providers in Idaho →

Registry record

NPI: 1750489100
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2006
Record last updated: 22 May 2008

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.