# OSNA PRIMARY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OSNA Primary Care, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811233554
- **Authorized official:** MR. DOUG VANG (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (602) 772-3800

## Contact information

- **Practice address:** 8630 E VIA DE VENTURA, SUITE 201, SCOTTSDALE, AZ 85258-3326
- **Practice address phone:** (480) 558-3744
- **Mailing address:** PO BOX 271429, SUITE 325, SALT LAKE CITY, UT 84127-1429
- **Mailing address phone:** (602) 772-3800
- **Mailing address fax:** (602) 772-3801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 12/28/2012
- **Last updated:** 10/25/2016