Individual
EMILY ANN LOOZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMS, PA-C
Contact information
Practice address
207 1ST ST S, NAMPA, ID 83651-3703
(208) 466-7869
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1653
ID
Other
Enumeration date
09/06/2017
Last updated
01/24/2025
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