Individual
MARLO PICHARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
408 S EAGLE RD STE 205, EAGLE, ID 83616-6079
(208) 740-8797
(530) 237-0772
Mailing address
408 S EAGLE RD STE 205, EAGLE, ID 83616-6079
(208) 740-8797
(530) 237-0772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1898
ID
363A00000X
Physician Assistant
PA9102903
FL
Other
Enumeration date
11/29/2006
Last updated
02/13/2026
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