Gardner, Marshall
Gardner, Marshall is an individual health care provider with primary practice located at 600 Robbins Rd Ste 300, Boise ID 83702-4565. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gardner, Marshall can be contacted via phone (208) 489-4016.Contact Information
Primary practice address
600 Robbins Rd Ste 300
Boise ID 83702-4565
Phone: (208) 489-4016
Fax: (208) 489-4015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-443 | Idaho |
Profile Details
| NPI number | 1316943343 |
|---|---|
| LBN Legal business name | Gardner, Marshall |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jan 25th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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