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1790422574
MARK WADE ROCKWELL
BOISE, ID
NPI
1790422574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: ID 6871255)
Enumeration Date
2022-05-13
Last Update Date
2025-06-18
Business Address
MARK WADE ROCKWELL MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2235
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Mailing Address
MARK WADE ROCKWELL MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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