Individual
DR. BRUCE H O'NEIL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 INTERNATIONAL BLVD, STE 35, OAKLAND, CA 94601-1520
(510) 532-2500
(510) 532-9041
Mailing address
2700 INTERNATIONAL BLVD, STE 35, OAKLAND, CA 94601-1520
(510) 532-2500
(510) 532-9041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A23100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A231000
—
CA
01
—
942302155
FEDERAL TAX ID #
—
Enumeration date
05/03/2006
Last updated
01/05/2012
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