Individual
EDWARD O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9930 WATSON RD, SAINT LOUIS, MO 63126-1827
(314) 984-8827
(314) 984-0736
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 851-1000
(314) 851-4477
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
03604249
IL
2085B0100X
Body Imaging Physician
Primary
MO31097
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200439495
—
MO
Enumeration date
06/13/2005
Last updated
07/01/2008
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