Michael Mart, PAC

NPI 1598861379 · on the registry since 2006

Practice

Address: 190 E Bannock St
Boise, ID 83712
Phone: (208) 706-7500
Fax: (208) 706-7501
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

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-03-07

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