Individual
MARYANN OZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1702 W FAIRVIEW AVE, BOISE, ID 83702-5121
(208) 957-7400
(877) 287-3117
Mailing address
1702 W FAIRVIEW AVE, BOISE, ID 83702-5121
(208) 957-7400
(877) 287-3117
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-282
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811002900
—
ID
Enumeration date
08/20/2006
Last updated
10/21/2019
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