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Individual

BRENT O'NEILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
500 UNIVERSITY DR, MAIL CODE CA410, HERSHEY, PA 17033-2360
(717) 531-5208
(717) 531-0119

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
48964
CO
207T00000X
Neurological Surgery Physician
Primary
MD480418
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
57134375
CO
Enumeration date
04/15/2009
Last updated
06/15/2023
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