Mark J Boerner M.D.

NPI 1003819459 - Ophthalmology - 207W00000X

NPI Details
NPI 1003819459
Gender Male
Enumeration Date 05/31/2005
Last Updated 07/15/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
111 W MAIN ST STE 200
BOISE ID, 83702-7308, US
Phone (208) 344-3220
Fax (208) 344-0461
Business Location
111 W MAIN ST STE 200
BOISE ID, 83702-7308, US
Phone (208) 344-3220
Fax (208) 344-0461
Toxanomy
Taxonomy Code 207W00000X
License State Idaho
License Number M7206
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According to our database, Dr. Mark J Boerner M.D. NPI is 1003819459, taxonomy code is 207W00000X and license number is M7206, license state is located at Idaho. Mark J Boerner M.D. physically located at 111 W Main St Ste 200, Boise ID, 83702-7308. NPI Number Mark J Boerner M.D. has the Individual type.

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1003819459 NPI number is provided on an as is basis without warranty of any kind. 1003819459 is maintained by the National Plan & Provider Enumeration System. The contents of Mark J Boerner M.D. are for informational purposes only.