Individual
DR. BRIAN L O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3232 E BLUEBIRD PL, CHANDLER, AZ 85286-5633
(480) 556-1884
Mailing address
3232 E BLUEBIRD PL, CHANDLER, AZ 85286-5633
(480) 556-1884
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4994151
WELLMARK
SD
01
—
4994152
WELLMARK
SD
01
—
5215
DAKOTACARE
SD
05
—
5611430
—
SD
05
—
5611435
—
SD
05
—
5611436
—
SD
05
—
5611437
—
SD
Enumeration date
06/18/2006
Last updated
08/13/2013
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