Edward Manning Sprowl III, PAC

NPI #1588696520 in Mescalero, New Mexico

Provider Information

NPI Number: 1588696520
Entity Type: Individual
Name: Edward Manning Sprowl III, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jul 7, 2006
Last Updated: Feb 11, 2011

Practice Location

Address: 318 ABALONE LOOP
City: Mescalero
State: New Mexico
ZIP Code: 88340
Phone: (575) 464-4441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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