Individual
DR. MARK EDWARD FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1855 MADISON AVENUE, IDAHO FALLS, ID 83404
(208) 881-5351
(208) 881-5351
Mailing address
PO BOX 3446, IDAHO FALLS, ID 83403-3446
(208) 881-5351
(208) 881-5351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M10224
ID
Other
Enumeration date
07/19/2006
Last updated
02/08/2021
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