Mark Frederick Ackerman, PAC

NPI #1710093612 in Orofino, Idaho

Provider Information

NPI Number: 1710093612
Entity Type: Individual
Name: Mark Frederick Ackerman, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Aug 22, 2006
Last Updated: Jul 19, 2024

Practice Location

Address: 1055 RIVERSIDE AVE
City: Orofino
State: Idaho
ZIP Code: 83544-9029
Phone: (208) 476-4555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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