Basic Information
Provider Information
NPI: 1306226212
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OSTER
FirstName: CALEB
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5151 N 9TH AVE
Address2: ATTN: CALEB OSTER INTERNAL MEDICINE RESIDENT
City: PENSACOLA
State: FL
PostalCode: 325048721
CountryCode: US
TelephoneNumber: 8504167000
FaxNumber:  
Practice Location
Address1: 1710 HARRISON ST
Address2:  
City: BATESVILLE
State: AR
PostalCode: 72501
CountryCode: US
TelephoneNumber: 8702621200
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/05/2015
LastUpdateDate: 06/27/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XE-11394ARY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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