Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 0101230805 | VA |
NPI | 1013979376 |
---|---|
Provider Name | Dr. David Ostman |
First Address | Hampton, VA 23664-1792 |
Second Address | Hampton, VA 23667-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 08/07/2007 |