Individual
MARK JAMES EDLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
228 SHOUP AVE W, TWIN FALLS, ID 83301-5022
(208) 734-6760
Mailing address
228 SHOUP AVE W, TWIN FALLS, ID 83301-5022
(208) 734-6760
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
E-3275
AR
2084P0800X
Psychiatry Physician
Primary
M-10108
ID
Other
Enumeration date
10/26/2006
Last updated
09/14/2023
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