Individual provider · Type 1 NPI

Marvin Charles Sparrell, MPAS PA-C

Surgical Physician Assistant · Boise, ID

NPI number 1639181233 Active

Practice location

500 W Fort St
Boise, ID 83702-4501

Call (208) 422-1136 Map

Fax (208) 422-1243

Mailing address

110 S Cotterell Dr
Boise, ID 83709-0307

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA-35 (ID)

Surgical Physician Assistant: Definition to come...

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About NPI 1639181233

Marvin Charles Sparrell, MPAS PA-C's National Provider Identifier is 1639181233, issued on Aug 12, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.