Individual
DR. DAVID R OSTERHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 SHERIDAN SQ, KINGSPORT, TN 37660-7390
(423) 246-8155
(423) 246-8658
Mailing address
5 SHERIDAN SQ, KINGSPORT, TN 37660-7390
(423) 246-8155
(423) 246-8658
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD38788
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010138418
—
VA
05
—
3896008
—
TN
05
—
7100013330
—
KY
Enumeration date
06/21/2005
Last updated
04/23/2008
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