Individual
DR. EDWARD W OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 S BELMONT AVE, STE 205, OKMULGEE, OK 74447-6315
(918) 756-8371
(918) 758-3437
Mailing address
1101 S BELMONT AVE, STE 205, OKMULGEE, OK 74447-6315
(918) 756-8371
(918) 758-3437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10783
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109990A
—
OK
Enumeration date
07/07/2005
Last updated
04/25/2011
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