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Sis E Ostolasa, PA
Medical Physician Assistant in Meridian, Idaho
NPI 1013952761

Sis E Ostolasa is a Medical Physician Assistant based in Meridian, ID and is specialized in Medical. Sis E Ostolasa practices in Meridian, ID and has the professional credentials of PA. The NPI Number for Sis E Ostolasa is 1013952761 and holds a License No. PA386 (Idaho).

The current practice location address for Sis E Ostolasa is 3025 W Cherry Lane, Meridian, ID and can be reached out via phone at 208-302-6450 and via fax at 208-302-6455. You can also correspond with Sis E Ostolasa through the mailing address at 3340 E GOLDSTONE WAY, MERIDIAN, ID - 83642 (mailing address contact number: 208-302-6450).

Location: 3025 W Cherry Lane, Meridian, ID, 83642
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Provider Profile Details
NPI Number
1013952761
Provider Name
Sis E Ostolasa
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3025 W Cherry Lane, Meridian, ID, 83642
Phone Number
208-302-6450
Fax Number
208-302-6455
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806249800 05 ID
institution
Provider Business Practice Location Address Details
Address
3025 W Cherry Lane
City
State
Zip
83642
Phone Number
208-302-6450
Fax Number
208-302-6455
person
Provider Business Mailing Address Details
Address
3025 W Cherry Lane
City
State
Zip
83642
Phone Number
208-302-6450
Fax Number
208-302-6455
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA386 (Idaho)
Definition
Definition to come...
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