Search › Idaho › 183500000X
Mark Coburn, R.PH
NPI 1528463668 · on the registry since 2014 · sole proprietor
Practice
- Address
- 604 N 5th Ave
Sandpoint, ID 83864 - Phone
- (208) 263-1408
- Fax
- (208) 265-8784
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 1835G0303X
- Licence states on file
- ID, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-31
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