Individual
JOHN JOSEPH OCONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3109 CLEARWATER DRIVE, STE A, PRESCOTT, AZ 86305
(928) 778-1066
(928) 778-7270
Mailing address
3109 CLEARWATER DRIVE, STE A, PRESCOTT, AZ 86305
(928) 778-1066
(928) 778-7270
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25148
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379877
—
AZ
Enumeration date
07/14/2005
Last updated
09/03/2013
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