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Individual

AMY E OCMAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1014 SAINT CLAIR BLVD, SUITE 3015, GONZALES, LA 70737-5023
(225) 743-2455
(225) 644-5213
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 706-8526
(225) 644-5213

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
026022
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1055948
LA
Enumeration date
05/10/2007
Last updated
01/20/2016
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