Individual
DANIEL REED MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1019 W SANETTA ST, NAMPA, ID 83651-5047
(208) 912-4416
Mailing address
1019 W SANETTA ST, NAMPA, ID 83651-5047
(208) 912-4416
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
ID
Other
Enumeration date
07/17/2022
Last updated
01/11/2023
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