| The Osterbauer Clinic Llc | |
|
10928 Eagle River Rd Ste 129 Eagle River AK 99577-8078 | |
| (907) 531-1840 | |
| (907) 531-1835 |
| Full Name | The Osterbauer Clinic Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 10928 Eagle River Rd Ste 129, Eagle River, Alaska |
| Authorized Official Name and Position | Peter John Osterbauer (OWNER) |
| Authorized Official Contact | 9075311840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Osterbauer Clinic Llc Po Box 770165 Eagle River AK 99577-0165 Ph: (907) 531-1840 | The Osterbauer Clinic Llc 10928 Eagle River Rd Ste 129 Eagle River AK 99577-8078 Ph: (907) 531-1840 |
| NPI Number | 1881272664 |
|---|---|
| Provider Enumeration Date | 04/01/2021 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881272664 | NPI | - | NPPES |
| 1831115955 | Other | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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