Provider Demographics
NPI:1295715399
Name:OSTER, JEFFREY A (DPM)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:A
Last Name:OSTER
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:711 N TAYLOR ST
Mailing Address - Street 2:2ND FLOOR GUNNISON VALLEY HOSPITAL
Mailing Address - City:GUNNISON
Mailing Address - State:CO
Mailing Address - Zip Code:81230-2243
Mailing Address - Country:US
Mailing Address - Phone:970-497-9932
Mailing Address - Fax:970-465-7313
Practice Address - Street 1:711 N TAYLOR ST
Practice Address - Street 2:2ND FLOOR GUNNISON VALLEY HOSPITAL
Practice Address - City:GUNNISON
Practice Address - State:CO
Practice Address - Zip Code:81230-2243
Practice Address - Country:US
Practice Address - Phone:970-497-9932
Practice Address - Fax:970-465-7313
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COPOD 0000389213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO449336ZRSXMedicare PIN
CO449334Medicare PIN
OHT80563Medicare UPIN