| Osburn Family Medicine | |
|
801 E Mullan Avenue Osburn ID 83849-0707 | |
| (208) 556-4803 | |
| (208) 556-1023 |
| Full Name | Osburn Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 801 E Mullan Avenue, Osburn, Idaho |
| Authorized Official Name and Position | Anthony John Branz (OWNER) |
| Authorized Official Contact | 2085564803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osburn Family Medicine Po Box 707 801 E Mullan Ave Osburn ID 83849-0707 Ph: (208) 556-4803 | Osburn Family Medicine 801 E Mullan Avenue Osburn ID 83849-0707 Ph: (208) 556-4803 |
| NPI Number | 1821142530 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0941349278 |
|---|---|
| Medicare Enrollment ID | O20091130000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821142530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-6860 (Idaho) | Primary |
| Provider Name | Anthony J Branz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700977170 PECOS PAC ID: 3678612900 Enrollment ID: I20091130000359 |
Dorchuck Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E Mullan Avenue, Osburn, ID 83849 Phone: 208-556-4803 Fax: 208-556-1023 |