IndividualActive
Marvin Sparrell, MPAS PA-C
NPI 1639181233 · Surgical Physician Assistant · Boise, ID
Provider details
- NPI number
- 1639181233
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MPAS PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA-35 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
500 W Fort St
Boise, ID 83702-4501
Phone: (208) 422-1136
Fax: (208) 422-1243
Approximate (ZIP-level) locationGet directions
Mailing address
110 S Cotterell Dr
Boise, ID 83709-0307
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.