Organization
OSBORNE ORTHOPEDIC GROUP INC.
Active
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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