MARK A GRANRUD

NAMPA, ID
NPI1043286222
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA621)
Enumeration Date2006-02-27
Last Update Date2007-07-08
Business Address
-- MARK A GRANRUD PA-C
215 E HAWAII AVENUE
NAMPA, ID 83686
Phone number: 208-463-3000
Mailing Address
-- MARK A GRANRUD PA-C
217 W GEORGIA SUITE 115
NAMPA, ID 83686
Phone number: 208-463-3000
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