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Organization

OSBORNE ORTHOPEDIC GROUP INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TOMMY TAYLOR OSBORNE II MD (PRESIDENT)
(757) 777-4110
Entity
Organization

Contact information

Practice address
1701 CHURCH ST STE A, NORFOLK, VA 23504-2304
(757) 548-7190
(757) 548-7191
Mailing address
1701 CHURCH ST STE A, NORFOLK, VA 23504-2304
(757) 548-7190
(757) 548-7191

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0101050384
VA
207X00000X
Orthopaedic Surgery Physician
Primary
0101050384
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006402958
VA
05
10255350
VA
05
1598768103
VA
01
362091900
OWCP
05
6402950
VA
Enumeration date
05/31/2007
Last updated
11/20/2021
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