SearchIdaho174400000X

Mark Freeman, M.D

NPI 1275552291 · on the registry since 2006 · sole proprietor

Practice

Address
1855 Madison Avenue
Idaho Falls, ID 83404
Phone
(208) 881-5351
Fax
(208) 881-5351
Organisation at this address
Dreamworks Anesthesia Pc
Madison Avenue Surgery Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-08

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