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1003819459
MARK J BOERNER
BOISE, ID
NPI
1003819459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: ID M7206)
Enumeration Date
2005-05-31
Last Update Date
2020-04-15
Business Address
Dr. MARK J BOERNER M.D.
111 W MAIN ST STE 200
BOISE, ID 83702-7308
Phone number: 208-344-3220
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Mailing Address
Dr. MARK J BOERNER M.D.
111 W MAIN ST STE 200
BOISE, ID 83702-7308
Phone number: 208-344-3220
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