Individual
DR. COLIN JAMES O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2769 HEARTLAND DR, SUITE 105, CORALVILLE, IA 52241-2732
(319) 545-7310
(319) 545-7314
Mailing address
2771 OAKDALE BLVD STE 3, CORALVILLE, IA 52241-9747
(319) 545-7310
(319) 626-7314
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35980
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0486803
—
IA
01
—
13568
BLUE CROSS BLUE SHIELD
IA
01
—
13572
BLUE CROSS BLUE SHIELD
IA
05
—
1486803
—
IA
01
—
19323
BLUE CROSS BLUE SHIELD
IA
Enumeration date
05/22/2006
Last updated
04/27/2021
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