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Individual
DR. SCOTT TROY O'CONNOR
Active
Individual
DR. SCOTT TROY O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD25921
OR
207W00000X
Ophthalmology Physician
Primary
MD25921
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00411297
MEDICARE RAILROAD
OR
05
—
269879
—
OR
Enumeration date
08/01/2006
Last updated
04/11/2013
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