Organization
SUSAN P. OSBORNE, DO
Active
Other names
The Barter Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN PAGE OSBORNE D.O. (MEDICAL DIRECTOR)
(540) 745-6034
Entity
Organization
Contact information
Practice address
274 FLOYD HWY S, STE 102, FLOYD, VA 24091-2348
(540) 745-6034
(540) 745-6033
Mailing address
PO BOX 597, FLOYD, VA 24091-0597
(540) 745-6034
(540) 745-6033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904002196
VA
207Q00000X
Family Medicine Physician
Primary
0102036909
VA
363AM0700X
Medical Physician Assistant
0110840358
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49D0951520
CLIA #
VA
Enumeration date
02/21/2006
Last updated
03/24/2010
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