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NPI Code Detail

MEDICARE: STACY C OSBORNE

MEDICARE: STACY C OSBORNE
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
1213E00000XPodiatrist36002140OH

General Provider Information

NPI Number : 1700109568
Entity Type Code : Organization
Provider Name (Legal Business Name) : STACY C OSBORNE
Provider Business Mailing Address
First Line : 5521 MONTGOMERY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-1848
Country : US
Telephone Number : 513-351-6300
Fax Number : 513-351-9951
Provider Business Practice Location Address
First Line : 5521 MONTGOMERY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-1848
Country : US
Telephone Number : 513-351-6300
Fax Number : 513-351-9951
Authorized Official
Title or Position : DPM/OWNER
Name : STACY OSBORNE
Credential :
Telephone Number : 513-351-6300
Provider Enumeration Date : 03/09/2010
Last Update Date : 03/22/2016

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Directions to “STACY C OSBORNE ” Practice Location

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