Individual
BRYCE OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5541 W 13400 S, RIVERTON, UT 84096-5640
(801) 871-4700
Mailing address
5541 W 13400 S, RIVERTON, UT 84096-5640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9093275-1205
UT
Other
Enumeration date
06/05/2013
Last updated
07/14/2016
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