Organization
OZARK ANESTHESIA
Active
Organization
OZARK ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY OSTRO (PRESIDENT)
(646) 431-8273
Entity
Organization
Contact information
Practice address
140 HIGHWAY 201 N, MOUNTAIN HOME, AR 72653-3158
(870) 424-7070
(870) 424-6616
Mailing address
PO BOX 1893, MOUNTAIN HOME, AR 72654-1893
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/26/2025
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