Organization
THE OSTERBAUER CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER JOHN OSTERBAUER MD (OWNER)
(907) 531-1840
Entity
Organization
Contact information
Practice address
10928 EAGLE RIVER RD STE 129, EAGLE RIVER, AK 99577-8078
(907) 531-1840
(907) 531-1835
Mailing address
PO BOX 770165, EAGLE RIVER, AK 99577-0165
(907) 531-1840
(907) 802-6617
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831115955
PROVIDER NPI
—
Enumeration date
04/01/2021
Last updated
01/15/2024
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