Individual
STEVEN HAROLD OSTERGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1200
Mailing address
PO BOX 581289, SALT LAKE CITY, UT 84158-1289
(801) 587-7450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201650-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201650-4405
LICENCE NUMBER
UT
Enumeration date
04/16/2008
Last updated
04/16/2008
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