Organization
PERPETUAL FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHRISTOPHER MARTINDALE PA-C (OWNER/PROVIDER)
(208) 480-6174
Entity
Organization
Contact information
Practice address
1717 LINCOLN WAY STE 108, COEUR D ALENE, ID 83814-2556
(208) 480-6174
(208) 601-6174
Mailing address
1717 LINCOLN WAY STE 108, COEUR D ALENE, ID 83814-2556
(208) 480-6174
(208) 601-6174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
03/03/2025
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