Individual
DR. JOSEPH EZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
775 POLE LINE RD W STE 315, TWIN FALLS, ID 83301-5823
(208) 814-8750
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G34899
CA
207RP1001X
Pulmonary Disease Physician
M-16855
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G348990
—
CA
Enumeration date
07/26/2006
Last updated
10/12/2022
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