Individual
DR. TOMMY TAYLOR OSBORNE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 CHURCH ST STE A, NORFOLK, VA 23504-2304
(757) 548-7190
(757) 548-7191
Mailing address
1701 CHURCH ST STE A, NORFOLK, VA 23504-2304
(757) 548-7190
(757) 548-7191
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101050384
VA
207XX0801X
Orthopaedic Trauma Physician
0101050384
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006402950
—
VA
05
—
6402950
—
VA
Enumeration date
05/27/2005
Last updated
02/08/2022
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