Individual provider · Type 1 NPI
Mark Christopher Martindale, PA-C
Medical Physician Assistant · Coeur D Alene, ID
NPI number
1508416785
Active · reactivated Feb 24, 2025
Practice location
1717 Lincoln Way Ste 108
Coeur D Alene, ID 83814-2556
Fax (208) 601-6174
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA-1937 (OR) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1508416785
Mark Christopher Martindale, PA-C's National Provider Identifier is 1508416785, issued on Sep 18, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Coeur D Alene, ID. The record was last updated on Mar 4, 2025.