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Mark Banks
NPI 1639477094 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1927 Idaho St
Lewiston, ID 83501 - Phone
- (208) 746-8547
- Organisation at this address
- Bertha Whitney
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 237600000X
237600000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-09
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