Individual
DR. ROGER HAROLD OSTDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 CENTURY DR, MECHANICSBURG, PA 17055-4351
(717) 697-5800
(717) 697-2719
Mailing address
118 WASHINGTON ST, HARRISBURG, PA 17104-1677
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD021990E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008007100002
—
PA
01
—
112073
HIGHMARK BLUE SHIELD
PA
01
—
18548
GEISINGER
PA
01
—
228144
UNISON
PA
01
—
50073728
BLUE CROSS
PA
01
—
55760038
AETNA
PA
01
—
7112073
GATEWAY
PA
Enumeration date
09/16/2005
Last updated
07/09/2009
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