MEDICARE: DR. RAUL ALBERTO OSORIO 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
1	207VG0400X	Gynecology Physician	11226	AZ

General Provider Information

NPI Number	:	1952380453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAUL ALBERTO OSORIO MD

Provider Business Mailing Address
First Line	:	6242 E ARBOR AVE
Second Line	:	118
City	:	MESA
State	:	AZ
Zip	:	85206-1309
Country	:	US
Telephone Number	:	480-834-3907
Fax Number	:	480-834-0948

Provider Business Practice Location Address
First Line	:	6242 E ARBOR AVE
Second Line	:	118
City	:	MESA
State	:	AZ
Zip	:	85206-1309
Country	:	US
Telephone Number	:	480-834-3907
Fax Number	:	480-834-0948

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	08/09/2012

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