Individual
JONNAE Y OSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2121 N CRAYCROFT RD BLDG 5, TUCSON, AZ 85712-2801
(520) 296-8500
(520) 495-7533
Mailing address
2121 N CRAYCROFT RD BLDG 5, TUCSON, AZ 85712-2801
(520) 296-8500
(520) 495-7533
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
59889
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006381
—
AZ
Enumeration date
06/02/2014
Last updated
08/07/2020
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