Individual provider · Type 1 NPI
Michael L. Mart, PAC
Medical Physician Assistant · Boise, ID
NPI number
1598861379
Active
Practice location
190 E Bannock St
Boise, ID 83712-6241
Fax (208) 706-7501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA77 (ID) |
Medical Physician Assistant: Definition to come...
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Other medical physician assistant providers in Boise
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- Jessica Anne Briggs, PA-CMedical Physician Assistant Boise, ID NPI 1053311084
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- Jayne Nelson, PA-CMedical Physician Assistant Boise, ID NPI 1073731196
- Jessica Bishop, PA-CMedical Physician Assistant Boise, ID NPI 1073915963
- Elizabeth B. Judy-Fudge, PAMedical Physician Assistant Boise, ID NPI 1083123277
- David M. Landis, PA-CMedical Physician Assistant Boise, ID NPI 1104044247
- Danielle Burke, PA-CMedical Physician Assistant Boise, ID NPI 1124498860
About NPI 1598861379
Michael L. Mart, PAC's National Provider Identifier is 1598861379, issued on Sep 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Mar 7, 2017.