Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK MACUMBER, MD
ActiveDR. MARK MACUMBER, MD is a 202K00000X healthcare provider located in MERIDIAN, Idaho. NPI 1598805830 is currently active in the NPPES registry. Verify at CMS.
202K00000X · MERIDIAN, ID
Registration Details
- NPI Number
- 1598805830
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2007 (19.53513715091 yrs)
- Last Updated
- May 14, 2024
- Licenses
-
036096467 (IL)036-096467 (IL)
Practice Information
- Address
-
3277 E LOUISE DR STE 360MERIDIAN, ID, 836429359Browse ID providers · Browse ZIP 83642
- Phone
- 2086001550
- Fax
- 2086001551
- Primary Specialty
-
202K00000X
202K00000X
- Additional Specialty
- 202K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.