Individual provider · Type 1 NPI
Mark S. Hammar, PA-C
Medical Physician Assistant · Rexburg, ID
NPI number
1609998731
Active
Practice location
37 S 2nd E Ste 202
Rexburg, ID 83440-1906
Fax (208) 656-8440
Other practice locations
- 36 Professional Plz, Suite 202, Rexburg, ID 83440-2049 · (208) 656-8868
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA-734 (ID) |
Medical Physician Assistant: Definition to come...
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About NPI 1609998731
Mark S. Hammar, PA-C's National Provider Identifier is 1609998731, issued on Apr 6, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rexburg, ID. The record was last updated on Jun 1, 2021.