Organization
STEVEN E OZERAN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ANNETTE JEFFREYS (OFFICE MANAGER)
(208) 746-4479
Entity
Organization
Contact information
Practice address
1630 23RD AVE, SUITE 901A, LEWISTON, ID 83501-6350
(208) 746-4479
(208) 746-4186
Mailing address
1630 23RD AVE, SUITE 901A, LEWISTON, ID 83501-6350
(208) 746-4479
(208) 746-4186
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10143154
—
WA
Enumeration date
10/01/2007
Last updated
10/01/2007
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