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NPI Code Detail

MEDICARE: DR. FRANK DAVID OSBORN MD

MEDICARE: DR. FRANK DAVID OSBORN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMD24910TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083615942
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK DAVID OSBORN MD
Provider Business Mailing Address
First Line : 3495 HACKS CROSS RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-8803
Country : US
Telephone Number : 901-526-7444
Fax Number : 901-526-0791
Provider Business Practice Location Address
First Line : 3495 HACKS CROSS RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-8803
Country : US
Telephone Number : 901-526-7444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 03/17/2018

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Directions to “ DR. FRANK DAVID OSBORN MD” Practice Location

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