Individual
DR. MARK EDWARD BELNAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
521 E HALLIDAY ST, POCATELLO, ID 83201-6563
(208) 233-3838
Mailing address
521 E HALLIDAY ST, POCATELLO, ID 83201-6563
(208) 233-3838
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA827
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1393
BLUE CROSS
ID
Enumeration date
01/12/2007
Last updated
07/09/2007
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