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Individual

DR. DANIEL R OSBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1531 E BRADFORD PKWY, SUITE 100, SPRINGFIELD, MO 65804-6566
(417) 887-3900
(417) 887-3221
Mailing address
1531 E BRADFORD PKWY, SUITE 100, SPRINGFIELD, MO 65804-6566
(417) 887-3900
(417) 887-3221

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
109897
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000013492
MEDICARE GROUP
MO
01
000013493
MEDICARE GROUP RURAL
MO
01
0800181
UHC
MO
01
15380
BCBS
MO
05
208181305
MO
01
284256
HEALTHLINK
MO
01
508027802
MEDICAID GROUP
MO
01
9960432
CIGNA
MO
01
CJ4613
MEDICARE RAILROAD GROUP
MO
01
CJ4614
MEDICARE RAILROAD GROUP
MO
Enumeration date
09/22/2005
Last updated
12/21/2010
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