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1134579576
MARK LUPTON
BLACKFOOT, ID
NPI
1134579576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID OO-0994)
Enumeration Date
2016-06-16
Last Update Date
2022-08-10
Business Address
MR. MARK LUPTON DO
700 E ALICE ST
BLACKFOOT, ID 83221-4925
Phone number: 208-785-1200
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Mailing Address
MR. MARK LUPTON DO
PO BOX 400
BLACKFOOT, ID 83221-0400
Phone number: 208-785-1200
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