Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD MANNING SPROWL III, PAC
ActiveEDWARD MANNING SPROWL III, PAC is a Physician Assistant healthcare provider located in MESCALERO, New Mexico. NPI 1588696520 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MESCALERO, NM
Registration Details
- NPI Number
- 1588696520
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2006 (20.072721508951 yrs)
- Last Updated
- Feb 11, 2011
- Licenses
-
1016599MA001481L (PA)
Practice Information
- Address
-
318 ABALONE LOOPMESCALERO, NM, 88340Browse NM providers · Browse ZIP 88340
- Phone
- 5754644441
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.