Organization
OSBORNE ORTHOPEDIC GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMY TAYLOR OSBORNE II MD (PRESIDENT/CEO)
(757) 777-4110
Entity
Organization
Contact information
Practice address
1701 CHURCH ST STE A, NORFOLK, VA 23504-2304
(757) 548-7190
(757) 548-7190
Mailing address
1701 CHURCH ST STE A, NORFOLK, VA 23504-2304
(757) 548-7190
(757) 548-7190
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
0213001933
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598768103
—
VA
01
—
362091900
OWCP
—
Enumeration date
03/13/2015
Last updated
11/20/2021
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