SIS OSTOLASA, PA

Physician Assistant - Medical

Active Individual
NPI: 1013952761

Practice Address

3025 W CHERRY LANE
STE B
Meridian, ID 83642

Phone: (208) 302-6450

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes PA386 (ID)

Frequently Asked Questions

NPI 1013952761 is the National Provider Identifier for SIS OSTOLASA, PA, a Physician Assistant - Medical provider located in Meridian, ID. This NPI was enumerated on June 17, 2006.
SIS OSTOLASA, PA practices at 3025 W CHERRY LANE, STE B, Meridian, ID 83642.

Quick Facts

NPI
1013952761
Type
Individual
Enumerated
Jun 17, 2006
Last Updated
Nov 15, 2016

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