Individual
DR. MARK J SZENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N 2ND ST STE 311, BOISE, ID 83702-6131
(208) 343-0907
Mailing address
222 N 2ND ST STE 311, BOISE, ID 83702-6131
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5993
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000190900-04
—
ID
Enumeration date
10/25/2005
Last updated
10/12/2007
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