Organization
OSNA PRIMARY CARE, LLC
Active
Other names
OSNA Primary Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG VANG (CHIEF EXECUTIVE OFFICER)
(602) 772-3800
Entity
Organization
Contact information
Practice address
8630 E VIA DE VENTURA, SUITE 201, SCOTTSDALE, AZ 85258-3326
(480) 558-3744
Mailing address
PO BOX 271429, SUITE 325, SALT LAKE CITY, UT 84127-1429
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
12/28/2012
Last updated
10/25/2016
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