MARK LUPTON

BLACKFOOT, ID
NPI1134579576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ID  OO-0994)
Enumeration Date2016-06-16
Last Update Date2022-08-10
Business Address
MR. MARK LUPTON DO
700 E ALICE ST
BLACKFOOT, ID 83221-4925
Phone number: 208-785-1200
Mailing Address
MR. MARK LUPTON DO
PO BOX 400
BLACKFOOT, ID 83221-0400
Phone number: 208-785-1200