Individual
MR. MARK B CLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD - FAMILY PRACTICE
Contact information
Practice address
9850 W ST LUKES DR STE 229, NAMPA, ID 83687-7912
(208) 463-3000
Mailing address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3000
(208) 463-3064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-10219
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808049400
—
ID
Enumeration date
09/07/2005
Last updated
11/17/2022
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