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Mark B Rencher, MD

Family Medicine in Idaho Falls, ID. Individual provider (NPI-1).

NPI number1649385386
StatusActive
Last updated in NPPESOct 20, 2008

Details

NPI
1649385386
Entity type
Individual (NPI-1)
Name
Mark B Rencher
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 21, 2006
Last updated
Oct 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineM4486IDYes

Practice location

2610 Channing Way
Idaho Falls, ID 83404

Phone 208-523-0888 · Fax 208-523-0968

Mailing address

1751 Revere Way
Eagle Mountain, UT 84005-5147

Phone 801-995-1951 · Fax 801-995-1951

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