Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Elochukwu Anthony Osoego, PA

Individual provider Physician Assistant · NPI 1639640055

Mr. Elochukwu Anthony Osoego, PA is a Physician Assistant in Jefferson City, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3218 W Edgewood Dr Ste 500
Jefferson City, MO 65109-6952
Phone: (573) 644-9901
Fax: (573) 644-9910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Hospital Dr, Columbia, MO 65212-0001 — (573) 882-8091

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2018044987 (MO)

Record details

NPI number1639640055
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 11, 2018
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

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