Search › Idaho › 363A00000X
Marc Manko, PA-C
NPI 1366964272 · on the registry since 2017 · sole proprietor
Practice
- Address
- 190 E Bannock St
Boise, ID 83712 - Phone
- (208) 381-2235
- Fax
- (208) 381-4556
- Organisation at this address
- St. Lukes
Picu Associates, Llc
St. Luke'S Children'S
St. Luke'S Health System
Boise Pathology Group P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 695
Additional practice sites
- 12608 Mt. Laurel Ct., Reisterstown, MD
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
390200000X - Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho