OrganizationActive
Ostranderson Medical PLLC
NPI 1639828981 · Addiction Medicine (Family Medicine) Physician · Oxford, MS
Provider details
- NPI number
- 1639828981
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Bespoke Medical
- Organization subpart
- Yes
- Authorized official
- Doug Anderson, Owner(662) 202-7964
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2411 South Lamar Blvd
Suite a
Oxford, MS 38655
Phone: (662) 202-7964
Approximate (ZIP-level) locationGet directions
Mailing address
2411 South Lamar Blvd
Oxford, MS 38655
Other names (DBA / former)
- Doing business as
- Bespoke Medical
Registry dates
- Enumerated
- 2022-03-23
- Last updated
- 2022-03-23
- Certified
- 2022-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.