Provider Demographics
NPI:1811493729
Name:OSBORN, ANDREW R (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:R
Last Name:OSBORN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1531 EAST BRADFORD PARKWAY STE 100
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-6539
Mailing Address - Country:US
Mailing Address - Phone:417-887-3900
Mailing Address - Fax:417-823-2894
Practice Address - Street 1:1531 EAST BRADFORD PARKWAY STE 100
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-6539
Practice Address - Country:US
Practice Address - Phone:417-887-3900
Practice Address - Fax:417-823-2894
Is Sole Proprietor?:No
Enumeration Date:2018-04-01
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK34644207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology