Individual
DR. TIMOTHY SALES O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3920 N UNION BLVD, STE 330, COLORADO SPRINGS, CO 80907-4900
(719) 570-7272
(719) 570-9030
Mailing address
3920 N UNION BLVD, STE 330, COLORADO SPRINGS, CO 80907-4900
(719) 570-7272
(719) 570-9030
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
CO29739
CO
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
CO29739
CO
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
CO29739
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01297399
—
CO
01
—
OBJ3038
ANTHEM BCBS
CO
Enumeration date
05/03/2006
Last updated
03/13/2008
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