Individual
SCOTT RANDOLPH OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7227
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7227
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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