Individual
MRS. CRYSTAL M OSTERMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1432 S DOBSON RD STE 509, MESA, AZ 85202-4778
(480) 412-6970
Mailing address
1432 S DOBSON RD STE 509, MESA, AZ 85202-4778
(804) 126-9704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5261
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
816462
—
AZ
Enumeration date
12/11/2012
Last updated
11/30/2021
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