Individual
DYAN J OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1421 OAKDALE RD, STANISLAUS SURGICAL HOSPITAL, MODESTO, CA 95355
(209) 572-2700
Mailing address
817 COFFEE RD, C3, MODESTO, CA 95355
(209) 529-9603
(209) 529-6610
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A6362
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX63620
—
CA
Enumeration date
10/02/2006
Last updated
12/19/2007
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