Organization
MARK E FREEMAN M.D. PC
Active
Other names
Freeman Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E FREEMAN M.D. (PRESIDENT)
(208) 881-5351
Entity
Organization
Contact information
Practice address
3760 WASHINGTON PARKWAY, IDAHO FALLS, ID 83404
(208) 881-5351
Mailing address
3760 WASHINGTON PARKWAY, IDAHO FALLS, ID 83404
(208) 881-5351
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
M10224
ID
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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