Individual
COREY O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
943 AUTOMATION WAY, A1, MEDFORD, OR 97504-4192
(541) 601-5062
Mailing address
PO BOX 5267, CENTRAL POINT, OR 97502-0051
(541) 601-5062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5507
OR
Other
Enumeration date
10/01/2013
Last updated
09/09/2015
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