Individual
IAN CHARLES OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 841-8978
Mailing address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 841-8978
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
90-92
NM
2084P0800X
Psychiatry Physician
MD015381E
PA
Other
Enumeration date
07/21/2006
Last updated
08/14/2008
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