Dr MARK LEE CAPENER is a male medical professional, specializing in Otolaryngology. He graduated in 1993 from Eastern Virginia Medical School.
2065 E 17TH ST
SUITE B 2
IDAHO FALLS
ID
834048042
Tel:
| Npi | 1750489100 |
| Pac Id | 4183711641 |
| Professional Enrollment Id | I20071030000540 |
| Last Name | CAPENER |
| First Name | MARK |
| Middle Name | LEE |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 1993 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialty 1 | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 2065 E 17TH ST |
| Line 2 Street Address | SUITE B 2 |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834048042 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 130065 |
| Hospital Affiliation Lbn 1 | MOUNTAIN VIEW HOSPITAL |
| Hospital Affiliation Ccn 2 | 130018 |
| Hospital Affiliation Lbn 2 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | M |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.