MARK FREDERICK ACKERMAN PAC
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1710093612- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PAC
- Status
- Active
Contact & Location
- Address
- 1055 RIVERSIDE AVE, OROFINO, ID, 835449029
- Phone
- (208) 476-4555
- Fax
- (208) 476-5385
Specialties & Taxonomies
Physician Assistant
Primary License: ID #pa-392