Healthcare Provider Details

I. General information

NPI: 1427142843
Provider Name (Legal Business Name): SANDY H OESTERREICHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDY H HWANG MD

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 09/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9224 TEDDY LANE #200
LONE TREE CO
80124-6799
US

IV. Provider business mailing address

720 S COLORADO BLVD SUITE 220A
GLENDALE CO
80246-1912
US

V. Phone/Fax

Practice location:
  • Phone: 303-790-1515
  • Fax: 303-790-1989
Mailing address:
  • Phone: 303-584-8231
  • Fax: 866-210-0907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number43879
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: