MARK D BURNINGHAM

BOISE, ID
NPI1720025133
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: ID  M6565)
Enumeration Date2006-06-02
Last Update Date2022-03-22
Business Address
MARK D BURNINGHAM MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
Mailing Address
MARK D BURNINGHAM MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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