Individual provider · Type 1 NPI

Martin A. Mangan, DO

Family Medicine Physician · Rexburg, ID

NPI number 1972709103 Active · reactivated Jul 2, 2021

Practice location

16 S 1st E
Rexburg, ID 83440-1902

Call (208) 520-2809 Map

Fax (208) 225-4249

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X77008 (ID)
Emergency Medicine Physician 207P00000XO-0518 (ID)
Family Medicine Physician Primary 207Q00000XO-0518 (ID)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

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About NPI 1972709103

Martin A. Mangan, DO's National Provider Identifier is 1972709103, issued on Jun 25, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Rexburg, ID. The record was last updated on Aug 11, 2026.