Organization
MARK S CHOWN MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S CHOWN MD (CORP PRESIDENT)
(208) 466-3322
Entity
Organization
Contact information
Practice address
1611 C 12TH AVE RD, NAMPA, ID 83686-6182
(208) 466-3322
(208) 465-0392
Mailing address
1611 C 12TH AVE RD, NAMPA, ID 83686-6182
(208) 466-3322
(208) 465-0392
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M4350
ID
2086S0129X
Vascular Surgery Physician
Primary
M4350
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124313
—
OR
01
—
43505
BLUE CROSS TRUE BLUE
ID
Enumeration date
09/14/2006
Last updated
09/11/2025
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