Individual provider · Type 1 NPI
Mark Edward Freeman, MD
Specialist · Idaho Falls, ID
NPI number
1275552291
Active
Practice location
1855 Madison Avenue
Idaho Falls, ID 83404
Fax (208) 881-5351
Mailing address
PO Box 3446
Idaho Falls, ID 83403-3446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | M10224 (ID) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1275552291
Mark Edward Freeman, MD's National Provider Identifier is 1275552291, issued on Jul 19, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Idaho Falls, ID. The record was last updated on Feb 8, 2021.