Individual
ELIZABETH OSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3456 E 17TH ST STE 125, AMMON, ID 83406-6759
(208) 529-2828
Mailing address
3456 E 17TH ST STE 125, AMMON, ID 83406-6759
(208) 529-2828
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1416
ID
Other
Enumeration date
09/21/2016
Last updated
07/21/2022
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