Individual
ROBERT MUSHELOVICH OSIPOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
13555 W MCDOWELL RD STE 210, GOODYEAR, AZ 85395-2628
(800) 991-6117
(888) 812-8191
Mailing address
3820 NORTHDALE BLVD STE 201, TAMPA, FL 33624-1893
(813) 961-1331
(888) 812-8191
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
36357
AZ
208600000X
Surgery Physician
Primary
36357
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
612518
—
AZ
Enumeration date
04/05/2007
Last updated
04/01/2025
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