Individual
MARC T NAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3115 E FLORENCE DR, MERIDIAN, ID 83642-1586
(208) 895-8670
(208) 955-0494
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6522
(208) 955-6503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1248
ID
Other
Enumeration date
04/16/2015
Last updated
05/06/2015
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