Individual
BETSY OSTRANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 213-3599
Mailing address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 213-7742
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
7973913-1205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
7973913-1205
UT
Other
Enumeration date
08/01/2008
Last updated
11/10/2021
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