Individual
CHARLES P O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 328-2929
(605) 328-8429
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9556
(605) 328-9501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2515
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000883
—
SD
Enumeration date
06/16/2005
Last updated
07/08/2007
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