Individual
MILDRED BYNOE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3302 GALLOWS RD, FALLS CHURCH, VA 22042-3353
(703) 207-7100
Mailing address
3302 GALLOWS RD, FALLS CHURCH, VA 22042-3353
(703) 207-7100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101044394
VA
2084P0800X
Psychiatry Physician
Primary
MD037926
DC
2084P0805X
Geriatric Psychiatry Physician
0101044394
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049-4504-2
—
VA
Enumeration date
02/14/2007
Last updated
12/17/2010
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