Individual
DR. ANDREW WADE OSBURN
Active
Individual
DR. ANDREW WADE OSBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16434
ND
2085R0202X
Diagnostic Radiology Physician
G75889
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G758890
BS
CA
05
—
00G758890
—
CA
01
—
P0030291
RR MC
CA
Enumeration date
06/23/2005
Last updated
10/31/2024
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