Individual
DR. MARK A DOWDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1408 POMERELLE AVE STE H, BURLEY, ID 83318-2068
(208) 677-6170
(208) 878-4974
Mailing address
1408 POMERELLE AVE STE H, BURLEY, ID 83318-2068
(208) 677-6170
(208) 878-4974
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M5511
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OO2647700
—
ID
Enumeration date
10/21/2005
Last updated
09/15/2021
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