Individual
DR. KYLE FRITZ OSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 239-7500
(636) 239-2836
Mailing address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 239-7500
(636) 239-2836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008009982
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376746743
—
MO
01
—
P01135357
RAILROAD MEDICARE
MO
Enumeration date
06/06/2007
Last updated
04/07/2015
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