Individual
DR. JEFFREY S OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
324 TENTH AVE, 206, SALT LAKE CITY, UT 84103-2853
(801) 408-3900
(801) 408-3909
Mailing address
324 TENTH AVE, 206, SALT LAKE CITY, UT 84103-2853
(801) 408-3900
(801) 408-3909
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
176514-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08835
—
UT
Enumeration date
03/11/2006
Last updated
03/13/2008
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