Search › Idaho › 363A00000X
Mark Ackerman, PAC
NPI 1710093612 · on the registry since 2006
Practice
- Address
- 1055 Riverside Ave
Orofino, ID 83544 - Phone
- (208) 476-4555
- Fax
- (208) 476-5385
- Clinicians at this address
- 7
Additional practice sites
- 700 S Main St, Moscow, ID
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-19
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