Individual
MR. PATRICK WILLIAM O'BRIEN
Active
Individual
MR. PATRICK WILLIAM O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2010041704
MO
363AM0700X
Medical Physician Assistant
1320
AZ
363AS0400X
Surgical Physician Assistant
Primary
1320
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1320
STATE LICENSE NUMBER
AZ
Enumeration date
05/05/2006
Last updated
01/12/2021
Update your record
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