Individual
OLYMPIA V STURGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMSC, PA-C
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12649859-1206
UT
363A00000X
Physician Assistant
Primary
PA-2376
ID
Other
Enumeration date
03/13/2009
Last updated
08/31/2023
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