Individual
MARK BRANDON WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
444 W FORT ST, FL. 2, BOISE, ID 83702-4535
(208) 422-1018
Mailing address
444 W FORT ST, FL. 2, BOISE, ID 83702-4535
(208) 422-1018
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
54313
MN
Other
Enumeration date
06/21/2010
Last updated
09/18/2023
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