MEDICARE: WILLIAM E OSTERMILLER JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	A20290	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194778399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM E OSTERMILLER JR. M.D.

Provider Business Mailing Address
First Line	:	1180 N. INDIAN CANYON DRIVE #E318
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4800
Country	:	US
Telephone Number	:	760-418-1376
Fax Number	:	760-416-1381

Provider Business Practice Location Address
First Line	:	1180 N INDIAN CANYON DR
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4809
Country	:	US
Telephone Number	:	760-418-1376
Fax Number	:	760-416-1381

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	07/08/2007

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Directions to “ WILLIAM E OSTERMILLER JR. M.D.” Practice Location

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