Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD00031656 | WA |
NPI | 1003969486 |
---|---|
Provider Name | John C. Osgood |
First Address | Seattle, WA 98124-1581 |
Second Address | Tacoma, WA 98405-4265 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 10/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8395535 | (05) | WA |
I11550 | (02) | WA |
P00731116 | RAILROAD MEDICARE (01) | WA |