Individual
PATRICIA N. MARCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 W A ST STE 101, MOSCOW, ID 83843-6000
(208) 882-2011
(208) 883-1853
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 883-2224
(208) 883-6580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-12357
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053398578
—
ID
Enumeration date
12/27/2005
Last updated
07/19/2024
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