Individual
BRIAN O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC, LAT
Contact information
Practice address
5210 GRAND AVE, FORT SMITH, AR 72913
(479) 788-7651
Mailing address
5210 GRAND AVE, FORT SMITH, AR 72913
(479) 788-7651
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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