Individual
STEPHANIE A. OSTRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
18700 N 64TH DR STE 301, GLENDALE, AZ 85308-7114
(623) 561-5437
(623) 561-2316
Mailing address
18700 N 64TH DR STE 301, GLENDALE, AZ 85308-7114
(623) 561-5437
(623) 561-2316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3326
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008625
—
AZ
Enumeration date
03/29/2007
Last updated
03/29/2012
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