Individual
JAMES MARK OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 W CENTRAL AVE, MIAMI, OK 74354-6815
(918) 542-3900
(918) 542-3928
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(918) 542-3900
(918) 542-3928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16251
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100137110A
—
OK
05
—
100160970A
—
KS
05
—
100736700O
—
OK
05
—
100743480A
—
OK
05
—
2077109601
—
MO
Enumeration date
02/13/2006
Last updated
04/05/2017
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