SearchIdaho363AM0700X

Mark Martindale, PA-C

NPI 1508416785 · on the registry since 2019

Practice

Address
1717 Lincoln Way Ste 108
Coeur D Alene, ID 83814
Phone
(208) 480-6174
Fax
(208) 601-6174
Organisation at this address
John M Ukich, Dds,Pa
Brent R. Unruh, Dmd, Pa
Thomas Lee Jaeger Dds Pa
Thomas R. Smart, Dds, Pa
Perpetual Family Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-04

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