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Individual

MR. MARK C WEINROBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7272 W POTOMAC DR, BOISE, ID 83704-9149
(208) 463-3000
(208) 884-2979
Mailing address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3244
(208) 463-3388

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M7808
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891740338
ID
Enumeration date
05/23/2006
Last updated
02/21/2020
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