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Organization
OSNA PRIMARY CARE, LLC
Active
Organization
OSNA PRIMARY CARE, LLC
Active
Other names
OSNA Primary Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG VANG (CHIEF EXECUTIVE OFFICER)
(602) 772-3800
Entity
Organization
Contact information
Practice address
8630 E VIA DE VENTURA, SUITE 201, SCOTTSDALE, AZ 85258-3326
(480) 558-3744
Mailing address
PO BOX 271429, SUITE 325, SALT LAKE CITY, UT 84127-1429
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
12/28/2012
Last updated
10/25/2016
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