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Individual

DANIEL P O'NEILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4011 TALBOT RD S, SUITE 500, RENTON, WA 98055-5773
(425) 251-5110
(425) 793-7380
Mailing address
PO BOX 59028, RENTON, WA 98058-2028
(425) 251-5110
(425) 793-4707

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00013433
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0057616
L&I
WA
01
110051023
RR MEDICARE
WA
05
1652106
WA
01
ON1353
REGENCE
WA
Enumeration date
10/19/2006
Last updated
02/07/2011
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