Individual
DANA C OSTERMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3725 W 4100 S, WEST VALLEY CITY, UT 84120-5530
(801) 965-3600
Mailing address
3725 W 4100 S, WEST VALLEY CITY, UT 84120-5530
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
10630
MT
208000000X
Pediatrics Physician
Primary
9406263-1205
UT
208000000X
Pediatrics Physician
M11797
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153634
—
MT
01
—
93436
BCBS
MT
Enumeration date
09/26/2006
Last updated
12/01/2021
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