Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK FREDERICK ACKERMAN, PAC
ActiveMARK FREDERICK ACKERMAN, PAC is a Physician Assistant healthcare provider located in OROFINO, Idaho. NPI 1710093612 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · OROFINO, ID
Registration Details
- NPI Number
- 1710093612
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2006 (19.948177773226 yrs)
- Last Updated
- Jul 19, 2024
- License
-
PA-392 (ID)
Practice Information
- Address
-
1055 RIVERSIDE AVEOROFINO, ID, 835449029Browse ID providers · Browse ZIP 83544
- Phone
- 2084764555
- Fax
- 2084765385
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in OROFINO, ID
| Name | Credential | NPI |
|---|---|---|
| ALEXA BROOKS | PA-C | 1457993206 |
| WILLIAM EDWARD CALDWELL III | — | 1083589014 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.