Search › Idaho › 363L00000X
Mark Pyburn, NP
NPI 1871206789 · on the registry since 2023
Practice
- Address
- 867 S Vanguard Way
Meridian, ID 83642 - Phone
- (208) 302-7950
- Fax
- (208) 302-7955
- Clinicians at this address
- 4
Additional practice sites
- 8971 W Overland Rd, Boise, ID
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-17
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