Individual
STEVEN OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5303 INDIAN GRAVE RD, ROANOKE, VA 24018-9107
(540) 725-3060
(540) 772-4948
Mailing address
5303 INDIAN GRAVE RD, ROANOKE, VA 24018-9107
(540) 725-3060
(540) 772-4948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101235727
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010092418
—
VA
01
—
P00305900
MEDICARE RAILROAD
VA
Enumeration date
01/13/2006
Last updated
04/28/2011
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