Individual
PEGGY E OHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2010-01187
NC
208000000X
Pediatrics Physician
9819
MT
2084P0800X
Psychiatry Physician
Primary
201001187
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000093995
BLUECROSSBLUESHIELD
MT
05
—
0060554
—
MT
05
—
1043327497
—
NC
Enumeration date
08/23/2006
Last updated
10/17/2022
Update your record
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