Basic Information
| Provider Information | |||||||||
| NPI: | 1568683738 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OSTLER | ||||||||
| FirstName: | LESLIE | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2697 SKY VIEW DR | ||||||||
| Address2: | |||||||||
| City: | LAYTON | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840402744 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8016526066 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1140 E 3900 S STE 390 | ||||||||
| Address2: | |||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841241256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8017434700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2007 | ||||||||
| LastUpdateDate: | 08/09/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 335893-1205 | UT | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207VH0002X | 25182 | OK | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Hospice and Palliative Medicine |
No ID Information.