Individual
MARK BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1927 IDAHO ST, LEWISTON, ID 83501-2563
(208) 746-8547
Mailing address
1927 IDAHO ST, LEWISTON, ID 83501-2563
(208) 746-8547
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
HA1967
ID
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
About Stedi
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