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Individual

MR. BRIAN EUGENE KAZMIERSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
750 N SYRINGA ST STE 205, POST FALLS, ID 83854-5275
(208) 262-0945
(208) 415-0150
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2300
(208) 262-2349

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-362
ID
363A00000X
Physician Assistant
PA362
ID
363A00000X
Physician Assistant
PA60064009
WA
363AS0400X
Surgical Physician Assistant
PA-362
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1034013
WA
05
1346293313
ID
Enumeration date
05/18/2006
Last updated
01/21/2026
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