MARK GRANRUD, PA-C

Physician Assistant

Active Individual
NPI: 1043286222

Practice Address

215 E HAWAII AVENUE
Nampa, ID 83686

Phone: (208) 463-3000

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA621 (ID)

Frequently Asked Questions

NPI 1043286222 is the National Provider Identifier for MARK GRANRUD, PA-C, a Physician Assistant provider located in Nampa, ID. This NPI was enumerated on February 27, 2006.
MARK GRANRUD, PA-C practices at 215 E HAWAII AVENUE, Nampa, ID 83686.

Quick Facts

NPI
1043286222
Type
Individual
Enumerated
Feb 27, 2006
Last Updated
Jul 8, 2007

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