Healthcare Provider Details

I. General information

NPI: 1437383718
Provider Name (Legal Business Name): TROY JUN OSTRANDER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2009
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4637 WHITECHAPEL LN
BELDEN MS
38826-9780
US

IV. Provider business mailing address

PO BOX 355
BELDEN MS
38826-0355
US

V. Phone/Fax

Practice location:
  • Phone: 662-231-6381
  • Fax:
Mailing address:
  • Phone: 662-231-6381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20653
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: