MARSHALL GARDNER

BOISE, ID
NPI1316943343
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-443)
Enumeration Date2005-06-23
Last Update Date2010-01-25
Business Address
-- MARSHALL GARDNER PA-C
600 ROBBINS RD STE 300
BOISE, ID 83702-4565
Phone number: 208-489-4016
Mailing Address
-- MARSHALL GARDNER PA-C
600 ROBBINS RD STE 300
BOISE, ID 83702-4565
Phone number: 208-489-4016
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