Mark Boerner, M.D

NPI 1003819459 · on the registry since 2005 · sole proprietor

Practice

Address: 111 W Main St Ste 200
Boise, ID 83702
Phone: (208) 344-3220
Fax: (208) 344-0461
Organisation at this address: Idaho Eyelid & Facial Plastic Surgery , Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 207W00000X
207W00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-04-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho