MARVIN CHARLES SPARRELL

BOISE, ID
NPI1639181233
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: ID  PA-35)
Enumeration Date2006-08-12
Last Update Date2007-07-08
Business Address
Mr. MARVIN CHARLES SPARRELL MPAS PA-C
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1136
Mailing Address
Mr. MARVIN CHARLES SPARRELL MPAS PA-C
110 S COTTERELL DR
BOISE, ID 83709-0307
Phone number: 208-322-4468
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