MARK ALAN PENDLETON

POCATELLO, ID
NPI1316570757
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  130808)
Enumeration Date2020-02-13
Last Update Date2020-05-19
Business Address
MARK ALAN PENDLETON
777 HOSPITAL WAY
POCATELLO, ID 83201-5175
Phone number: 082-391-0562
Mailing Address
MARK ALAN PENDLETON
PO BOX 558
RIGBY, ID 83442-0558
Phone number: 307-248-0283
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