Individual
DR. DANIEL JON OSTLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0016
(602) 933-4309
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
24698
AZ
2086S0120X
Pediatric Surgery Physician
57614
WI
Other
Enumeration date
05/18/2006
Last updated
03/26/2018
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