Organization
OB GYN LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN S OSTERHOLT MD (PRESIDENT)
(937) 399-7100
Entity
Organization
Contact information
Practice address
1108 VESTER AVE, SPRINGFIELD, OH 45503
(937) 399-7100
(937) 399-7355
Mailing address
1108 VESTER AVE, SPRINGFIELD, OH 45503
(937) 399-7100
(937) 399-7355
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2383906
—
OH
Enumeration date
09/07/2006
Last updated
01/28/2010
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