Individual
MARK LEE DUNLAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D., C.A.C., L.M.T
Contact information
Practice address
2311 PARK AVE, SUITE 5, BURLEY, ID 83318-2170
(208) 678-7811
(208) 678-7811
Mailing address
2311 PARK AVE, SUITE 5, BURLEY, ID 83318-2170
(208) 678-7811
(208) 678-7811
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
ACC-89
ID
175F00000X
Naturopath
Primary
—
ID
225700000X
Massage Therapist
MASG-354
ID
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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