Individual
ADAM ALAN MARFICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1551 E MULLAN AVE STE 102, POST FALLS, ID 83854-9005
(208) 262-2328
(208) 619-5057
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2300
(208) 262-2390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1861
ID
363AM0700X
Medical Physician Assistant
PA-1861
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013542802
—
ID
Enumeration date
03/11/2020
Last updated
08/22/2024
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