Mark Christian Walsworth, MD Valid NPI

Individual provider · Family Medicine Physician · Coeur D Alene, ID

NPI

1235798067

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

M16095 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2019-06-05

Last updated

2024-04-17