Marc T Nagel, PA-C

NPI #1104213123 in Meridian, Idaho

Provider Information

NPI Number: 1104213123
Entity Type: Individual
Name: Marc T Nagel, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 16, 2015
Last Updated: May 6, 2015

Practice Location

Address: 3115 E FLORENCE DR
City: Meridian
State: Idaho
ZIP Code: 83642-1586
Phone: (208) 895-8670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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