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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDWARD MANNING SPROWL III, PAC

Active

EDWARD 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
1016599
MA001481L (PA)

Practice Information

Address
318 ABALONE LOOP
MESCALERO, NM, 88340
Browse 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.