Individual
SCOTT RANDOLPH OSBORN
Active
Individual
SCOTT RANDOLPH OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101243076
VA
207P00000X
Emergency Medicine Physician
Primary
MD60138515
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00136
AK DSHS
WA
01
—
P00946048
RAILROAD MEDICARE
WA
Enumeration date
05/20/2008
Last updated
04/23/2013
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