Individual
SETH O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP, FAAOP
Contact information
Practice address
2058 S DOBSON RD STE 17, MESA, AZ 85202
(480) 969-3999
(480) 730-2750
Mailing address
2058 S DOBSON RD STE 17, MESA, AZ 85202-6456
(480) 969-3999
(480) 730-2750
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CP003902
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP003902
ABC CERTIFICATION
—
Enumeration date
05/10/2012
Last updated
06/06/2018
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