Individual
DR. SANDY H OESTERREICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9224 TEDDY LANE, #200, LONE TREE, CO 80124-6799
(303) 790-1515
(303) 790-1989
Mailing address
720 S COLORADO BLVD, SUITE 220A, GLENDALE, CO 80246-1912
(303) 584-8231
(866) 210-0907
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
43879
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04018362
GROUP MEDICAID
CO
05
—
06080081
—
NM
05
—
10025609200
—
NE
01
—
109864100
GROUP MEDICAID
WY
05
—
122633900
—
WY
01
—
1699895755
GROUP NPI
—
05
—
1720293251
—
SD
01
—
200293420 A
GROUP MEDICAID
OK
05
—
39083039
—
CO
01
—
84127410413
GROUP MEDICAID
NE
Enumeration date
10/02/2006
Last updated
09/28/2010
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