DR. Mark J Boerner, M.D.

NPI #1003819459 in Boise, Idaho

Provider Information

NPI Number: 1003819459
Entity Type: Individual
Name: DR. Mark J Boerner, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: May 31, 2005
Last Updated: Apr 15, 2020

Practice Location

Address: 111 W MAIN ST STE 200
City: Boise
State: Idaho
ZIP Code: 83702-7308
Phone: (208) 344-3220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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