| Doctor Name: | DR. MARK RYAN PAPENFUSS |
| NPI Number: | 1326257064 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 4081 |
| Business Practice Address: | 1055 N Curtis Road Boise, ID - 837061309 |
| Business Phone Number: | 2083672161 |
| Business Fax Number: | 2083672989 |
| Mailing Address: | Po Box 9649, BOISE |
| State: | ID |
| Postal Code: | 837074649 |
| Phone Number: | 2084728100 |
| Fax Number: | 2084728172 |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 11/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 4081 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |