MR. Mark Matthew Mckell, O.D.

NPI #1396853974 in Nampa, Idaho

Provider Information

NPI Number: 1396853974
Entity Type: Individual
Name: MR. Mark Matthew Mckell, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2100 CALDWELL BLVD
City: Nampa
State: Idaho
ZIP Code: 83651-1510
Phone: (208) 466-6895

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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