Martin Mangan, DO

NPI 1972709103 · on the registry since 2007

Practice

Address: 16 S 1st E
Rexburg, ID 83440
Phone: (208) 520-2809
Fax: (208) 225-4249
Organisation at this address: Ashby Group Llc
Mountain Health & Wellness
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Also registered as: Psychiatric/Mental Health Nurse Practitioner
207P00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-11

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