Individual
REBECCA OSTERKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6259 W EMERALD ST, BOISE, ID 83704-8731
(208) 489-1900
Mailing address
6259 W EMERALD ST, BOISE, ID 83704-8731
(208) 489-1900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M-15109
ID
207RG0100X
Gastroenterology Physician
Primary
M-15109
ID
Other
Enumeration date
05/17/2014
Last updated
09/24/2020
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