Individual
JOMO OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
214 CARTER ST, BERRYVILLE, AR 72616-4303
(870) 423-5185
Mailing address
214 CARTER ST, BERRYVILLE, AR 72616-4303
(870) 423-5185
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-12064
AR
207Q00000X
Family Medicine Physician
E-12064
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2015
Last updated
10/31/2023
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