Individual
REBECCA LYNN OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1309 W MAIN ST, WALNUT RIDGE, AR 72476-1430
(870) 886-3211
(870) 886-3616
Mailing address
PO BOX 839, WALNUT RIDGE, AR 72476-0839
(870) 886-3211
(870) 886-3616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E3720
AR
2080A0000X
Pediatric Adolescent Medicine Physician
E3720
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150035001
—
AR
Enumeration date
09/21/2005
Last updated
02/10/2022
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