Organization
KATHY J O'CONNOR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY J O'CONNOR MD (PRESIDENT/CEO)
(928) 204-4944
Entity
Organization
Contact information
Practice address
3700 W HIGHWAY 89A, SEDONA, AZ 86336-4937
(928) 204-4944
(928) 204-4945
Mailing address
PO BOX 1304, CORNVILLE, AZ 86325-1304
(928) 204-4944
(928) 204-4945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27775
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480088
—
AZ
Enumeration date
08/21/2006
Last updated
08/22/2020
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