Individual
BENJAMIN J. OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 W THOMAS RD, SUITE 900, PHOENIX, AZ 85013-4224
(602) 406-3540
Mailing address
FILE 56765, LOS ANGELES, CA 90074-6765
(602) 406-3860
(602) 406-6132
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
005278
AZ
208M00000X
Hospitalist Physician
005278
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005278
MEDICAL LICENSE
AZ
Enumeration date
11/30/2007
Last updated
05/28/2013
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