Mark Thomas Pyburn, NP

NPI #1871206789 in Meridian, Idaho

Provider Information

NPI Number
1871206789
Entity Type
Individual
Name
Mark Thomas Pyburn, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Jan 5, 2023
Last Updated
Sep 17, 2024

Practice Location

Address
867 S VANGUARD WAY
State
Idaho
ZIP Code
83642-7552
Phone
(208) 302-7950

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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