Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | MD.31689 | AL |
N | 207L00000X | Anesthesiologist | N5925 | TX |
NPI | 1003132200 |
---|---|
Provider Name | Dr. Steven Clay Osborne JR. |
First Address | Montgomery, AL 36106-1909 |
Second Address | Huntsville, AL 35801-4421 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2010 |
Last Update Date | 28/08/2019 |