SIS OSTOLASA, PA

PA

Medical Physician Assistant

NPI: 1013952761IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

PA386(ID)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2000

Contact & Hours

Address: 3025 W CHERRY LANE, STE B
MERIDIAN, ID 83642
Phone: (208) 302-6450

Quick Facts

NPI: 1013952761
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 26

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