Organization
OSTRANDERSON MEDICAL PLLC
Active
Parent organization
BESPOKE MEDICAL
Other names
Bespoke Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
BESPOKE MEDICAL
Authorized official
MR. DOUG ANDERSON (OWNER)
(662) 202-7964
Entity
Organization
Contact information
Practice address
2411 SOUTH LAMAR BLVD, SUITE A, OXFORD, MS 38655
(662) 202-7964
Mailing address
2411 SOUTH LAMAR BLVD, SUITE A, OXFORD, MS 38655
(662) 202-7964
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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