Individual
MARK DAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1308 8TH ST STE 1, RUPERT, ID 83350-1535
(208) 436-4322
(208) 436-1312
Mailing address
1224 8TH STREET, RUPERT, ID 83350-1527
(208) 434-8236
(208) 436-6038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-16342
ID
Other
Enumeration date
05/01/2019
Last updated
06/05/2025
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