Individual
RICHARD A OFSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ST JOHNS MEDICAL CENTER DEPT OF RADIOLOGY, 625 E BROADWAY, JACKSON, WY 83011
(800) 633-1905
(913) 491-0411
Mailing address
JACKSON HOLE MEDICAL IMAGING PC, PO BOX 9230, JACKSON, WY 83002-9230
(800) 633-1905
(913) 491-0411
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7287A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122813700
—
WY
01
—
314177
BCBS
WY
05
—
807446700
—
ID
Enumeration date
12/09/2005
Last updated
11/10/2021
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