Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 2132 | ND |
N | 1223G0001X | General Practice | D-3962 | ID |
N | 213EG0000X | General Practice | D-3962 | ID |
NPI | 1043331861 |
---|---|
Provider Name | Dr. Steven Wayne Osmond |
First Address | Bismarck, ND 58501-4418 |
Second Address | Bismarck, ND 58501-4418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 28/05/2014 |