Individual
MEGAN NICOLE ROZMAJZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1408 POMERELLE AVE STE H, BURLEY, ID 83318-2068
(208) 677-6170
(208) 878-4974
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2194
ID
Other
Enumeration date
10/27/2021
Last updated
02/07/2022
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