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MARK TOM

Family Medicine Physician

NPI: 1144712639IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine

Code: 207Q00000X

MD61144305(WA)MD.MD.61144305(WA)

CMS Specialties

PrimaryFAMILY PRACTICE

Education

UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE

Class of 2018

Contact & Hours

Address
1919 LINCOLN WAY STE 315
COEUR D ALENE, ID 83814

Quick Facts

NPI
1144712639
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
3
Years in Practice
8

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