Individual
MR. STEVEN EDWIN OZERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1630 23RD AVE, STE 901A, LEWISTON, ID 83501
(208) 746-4479
(208) 746-4186
Mailing address
1630 23RD AVE, STE 901A, LEWISTON, ID 83501
(208) 746-4479
(208) 746-4186
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD00032850
WA
2086S0122X
Plastic and Reconstructive Surgery Physician
M6830
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002773500
—
ID
01
—
10143154
REGENCE BLUE SHIELD
—
Enumeration date
02/15/2006
Last updated
01/25/2022
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