Individual
DR. MARK CONDON MEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6165 W EMERALD STREET, BOISE, ID 83704-8613
(208) 377-0777
(208) 377-1070
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 377-0777
(208) 377-1070
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M6050
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010005987
REGENCE BLUE SHIELD
ID
01
—
10504
BLUE CROSS
ID
01
—
P00199273
TRAVELERS MEDICARE
ID
Enumeration date
05/09/2006
Last updated
04/07/2015
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