Individual
STEPHEN B OSMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ST. LOUIS VA MEDICAL CENTER, 915 N GRAND BLVD, ST. LOUIS, MO 63106
(314) 652-4100
Mailing address
1333 PACLAND PL, CHESTERFIELD, MO 63005-4320
(314) 704-1496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2001012062
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01062755A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2001012062
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
55775
KY
207RP1001X
Pulmonary Disease Physician
2001012062
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200333607
—
MO
Enumeration date
04/07/2006
Last updated
05/23/2024
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