Individual
MARCUS D NEFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 N 8TH AVE, POCATELLO, ID 83201-5757
(208) 232-3368
(208) 776-5016
Mailing address
1000 N 8TH AVE, POCATELLO, ID 83201-5757
(208) 232-3368
(208) 776-5016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3710
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952316341
NPI FOR BUSINESS
ID
05
—
806687200
—
ID
Enumeration date
08/09/2006
Last updated
03/10/2017
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