MR. Mark Mitchell Roubidoux II, NP-C
NPI #1629685235 in Lewiston, Idaho
Provider Information
- NPI Number
- 1629685235
- Entity Type
- Individual
- Name
- MR. Mark Mitchell Roubidoux II, NP-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- NP-C
- Enumeration Date
- Sep 28, 2020
- Last Updated
- Sep 12, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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