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Contact Information

MARK A WEIGHT MD PC
2355 CORONADO ST
IDAHO FALLS, ID83404-7407
 Phone: 208-523-0303
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for MARK A WEIGHT MD PC

NPI Number 1578645339
LBN Legal business name MARK A WEIGHT MD PC
Authorized official MARK WEIGHT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2006
Last updated 06/17/2019 - About 7 years ago
Identifiers
ID Medicaid 807218100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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