Individual
DR. MARK DANIEL YOVICHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 N SYRINGA ST STE 100, POST FALLS, ID 83854-5275
(208) 777-9110
Mailing address
927 E POLSTON AVE STE 303, POST FALLS, ID 83854-9390
(208) 664-3313
(208) 664-2793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7733
ID
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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