Provider Demographics
NPI:1891746384
Name:IBER, MARK C (PA)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:C
Last Name:IBER
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:398 ROLLER COASTER RD
Mailing Address - Street 2:
Mailing Address - City:STRAFFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03884-6670
Mailing Address - Country:US
Mailing Address - Phone:603-664-2919
Mailing Address - Fax:603-271-5723
Practice Address - Street 1:36 CLINTON ST
Practice Address - Street 2:NH HOSPITAL
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-271-5300
Practice Address - Fax:603-271-5723
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH103363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH103OtherLICENSE
NH103OtherLICENSE