Individual
DR. ANITA MARIE OSMUNDSON
Active
Individual
DR. ANITA MARIE OSMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4608
OK
207N00000X
Dermatology Physician
OT010168
PA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
25MB08611500
NJ
207ND0101X
MOHS-Micrographic Surgery Physician
4608
OK
207NS0135X
Procedural Dermatology Physician
4608
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100749090B
—
OK
Enumeration date
02/08/2008
Last updated
09/28/2014
Update your record
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