Mark J Boerner


Address: 111 W Main St, Suite 200, Boise, ID 83702-7308

Mark J Boerner (NPI# 1003819459, PAC ID# 6901710540) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.

Physician Overview

Nation Provider ID (NPI) 1003819459
PAC ID by PECOS 6901710540
Professional Enrollment ID I20100507000037
Full Name Mark J Boerner
Address 111 W Main St
Suite 200
Boise
ID 83702-7308
Gender M
Medical School UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year 1988
Primary Specialty OPHTHALMOLOGY
Secondary Specialties PLASTIC AND RECONSTRUCTIVE SURGERY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
111 W Main St, Suite 200, Boise, ID 83702-7308

Organization Information

Office Location

Street Address 111 W MAIN ST
SUITE 200
City BOISE
State ID
Zip 83702-7308

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Competitor

Search similar physicians

City BOISE
Zip Code 83702
Specialty OPHTHALMOLOGY
City + Specialty BOISE + OPHTHALMOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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