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Individual

MRS. MARCY LIN MORROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
134 4TH AVE W, GOODING FAMILY PHYSICIANS, GOODING, ID 83330
(208) 934-4446
(208) 934-4442
Mailing address
134 4TH AVE W, GOODING FAMILY PHYSICIANS, GOODING, ID 83330
(208) 934-4446
(208) 934-4442

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA581
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806777400
ID
05
807316800
ID
Enumeration date
08/12/2006
Last updated
02/04/2021
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