Individual
DR. PATRICK CLARK MARVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1220 E POLSTON AVE, POST FALLS, ID 83854-6056
(208) 773-1577
(208) 773-1577
Mailing address
1220 E POLSTON AVE, POST FALLS, ID 83854-6056
(208) 773-1577
(208) 773-1577
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M-14925
ID
207Q00000X
Family Medicine Physician
Primary
M-14925
ID
208M00000X
Hospitalist Physician
M-14925
ID
Other
Enumeration date
05/15/2018
Last updated
11/11/2024
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