Provider Demographics
NPI:1174834360
Name:OSTRANDER, CRAIG STEVEN (DO)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:STEVEN
Last Name:OSTRANDER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4031 NE LAKEWOOD WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1703
Mailing Address - Country:US
Mailing Address - Phone:816-944-3761
Mailing Address - Fax:816-272-2823
Practice Address - Street 1:4031 NE LAKEWOOD WAY STE 100
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1703
Practice Address - Country:US
Practice Address - Phone:816-944-3761
Practice Address - Fax:816-272-2823
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2013032874207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine