Marshall Gardner, PA-C

NPI 1316943343 · on the registry since 2005

Practice

Address: 600 Robbins Rd
Ste 300
Boise, ID 83702
Phone: (208) 489-4016
Fax: (208) 489-4015
Organisation at this address: Idaho Physical Medicine & Rehabilitation
Wound Care And Hyperbaric Treatment Center, Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-01-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho