# MICHAEL J ONEILL MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700250073
- **Authorized official:** MICHAEL J O'NEILL MD (PRESIDENT)
- **Authorized official phone:** (719) 465-1849

## Contact information

- **Practice address:** 1465 KELLY JOHNSON BLVD, SUITE 310, COLORADO SPRINGS, CO 80920-3955
- **Practice address phone:** (719) 419-7490
- **Practice address fax:** (719) 309-6847
- **Mailing address:** 1465 KELLY JOHNSON BLVD, SUITE 310, COLORADO SPRINGS, CO 80920-3955
- **Mailing address phone:** (719) 419-7490
- **Mailing address fax:** (719) 309-6847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2015
- **Last updated:** 01/26/2016