Individual
FREDRICK V OSORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 S POWER RD STE 103, MESA, AZ 85206-5243
(480) 325-7535
(480) 325-7462
Mailing address
2149 E WARNER RD, SUITE 101, TEMPE, AZ 85284-3494
(480) 610-6100
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
24517
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380840
—
AZ
05
—
7712630
—
SD
Enumeration date
09/07/2005
Last updated
06/19/2012
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