Individual
DR. MARK A BURRIESCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 322-1730
(208) 322-1731
Mailing address
2963 E COPPER POINT DR, SUITE 150, MERIDIAN, ID 83642-9055
(208) 322-1730
(208) 322-1731
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M10341
ID
207P00000X
Emergency Medicine Physician
MD183939
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808088200
—
ID
Enumeration date
07/11/2007
Last updated
03/23/2022
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