Provider Demographics
NPI:1821202557
Name:OCMAND, AMY E (MD)
Entity type:Individual
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First Name:AMY
Middle Name:E
Last Name:OCMAND
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Gender:F
Credentials:MD
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Mailing Address - Street 1:190 E BANNOCK ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83712-6241
Mailing Address - Country:US
Mailing Address - Phone:208-706-8526
Mailing Address - Fax:225-644-5213
Practice Address - Street 1:1014 SAINT CLAIR BLVD
Practice Address - Street 2:SUITE 3015
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-5023
Practice Address - Country:US
Practice Address - Phone:225-743-2455
Practice Address - Fax:225-644-5213
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2016-01-20
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Provider Licenses
StateLicense IDTaxonomies
LA026022208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1055948Medicaid
LA4K539Medicare PIN