Individual
MARK G PARENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6140 W CURTISIAN, STE 200, BOISE, ID 83704
(208) 322-1680
(208) 322-1695
Mailing address
6140 W CURTISIAN, STE 200, BOISE, ID 83704
(208) 322-1680
(208) 322-1695
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
M5376
ID
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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