MR. Jeremy B Ostermiller, PAC

NPI #1437222528 in Lewiston, Idaho

Provider Information

NPI Number
1437222528
Entity Type
Individual
Name
MR. Jeremy B Ostermiller, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
Nov 16, 2006
Last Updated
Dec 26, 2007

Practice Location

Address
320 WARNER DRIVE
State
Idaho
ZIP Code
83501
Phone
(208) 791-9889

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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