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Individual

BARBARA ANNE O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
225 CLARKSON RD, ELLISVILLE, MO 63011-2278
(636) 685-7715
(314) 590-5916
Mailing address
225 CLARKSON RD, ELLISVILLE, MO 63011-2278
(636) 230-5050
(636) 230-5057

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
2003000621
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000014182
ESSENCE
MO
01
00000001482
ESSENCE
01
036117870
BCBS IL
IL
01
182228
BCBS
MO
05
209258102
MO
01
2312375
UHC
01
322212
GHP
01
633328
HEALTHLINK
01
7432465
AETNA
01
8008001
CIGNA
Enumeration date
12/14/2006
Last updated
07/16/2018
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