Marshall Gardner, PA-C

NPI #1316943343 in Boise, Idaho

Provider Information

NPI Number
1316943343
Entity Type
Individual
Name
Marshall Gardner, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jun 23, 2005
Last Updated
Jan 25, 2010

Practice Location

Address
600 ROBBINS RD
Address 2
STE 300
City
Boise
State
Idaho
ZIP Code
83702-4565
Phone
(208) 489-4016

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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