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1275552291
MARK EDWARD FREEMAN
IDAHO FALLS, ID
NPI
1275552291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: ID M10224)
Enumeration Date
2006-07-19
Last Update Date
2021-02-08
Business Address
Dr. MARK EDWARD FREEMAN M.D.
1855 MADISON AVENUE
IDAHO FALLS, ID 83404
Phone number: 208-881-5351
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Mailing Address
Dr. MARK EDWARD FREEMAN M.D.
PO BOX 3446
IDAHO FALLS, ID 83403-3446
Phone number: 208-881-5351
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