Individual
ANNE G. OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-7553
Mailing address
PO BOX 413025, SALT LAKE CITY, UT 84141-3025
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
156583-1205
UT
2085R0202X
Diagnostic Radiology Physician
156583-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
301157011
RAILROAD MEDICARE
UT
Enumeration date
10/18/2006
Last updated
09/06/2023
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