Mark Alan Pendleton

NPI #1316570757 in Pocatello, Idaho

Provider Information

NPI Number
1316570757
Entity Type
Individual
Name
Mark Alan Pendleton
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Feb 13, 2020
Last Updated
May 19, 2020

Practice Location

Address
777 HOSPITAL WAY
State
Idaho
ZIP Code
83201-5175
Phone
(082) 391-0562

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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