Individual
DR. PAUL DAVID OSTROVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1162
(505) 722-1192
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1162
(505) 722-1192
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
140833
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
453172
—
AZ
Enumeration date
06/22/2005
Last updated
10/05/2009
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