Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marc Manko, PA-C

Individual provider Physician Assistant · NPI 1366964272

Marc Manko, PA-C is a Physician Assistant in Boise, Idaho. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2017
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2235
Fax: (208) 381-4556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12608 Mt. Laurel Ct., Reisterstown, MD 21136 — (410) 833-8288

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1529 (ID)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366964272
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 12, 2017
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

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