Individual
CHRISTOPHER TIZON OSTREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1144 COFFEE RD, MODESTO, CA 95355-4205
(209) 550-4744
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
27627
OK
208000000X
Pediatrics Physician
Primary
A116179
CA
Other
Enumeration date
06/21/2009
Last updated
07/31/2015
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