Individual
PATRICK R O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2320 CONCORD RD, SUITE C, LAFAYETTE, IN 47909-2708
(317) 567-2180
(317) 567-2191
Mailing address
2320 CONCORD RD, SUITE C, LAFAYETTE, IN 47909-2708
(317) 567-2180
(317) 567-2191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01026331
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050044213
RAILROAD MEDICARE
IN
05
—
100231530
—
IN
Enumeration date
03/25/2006
Last updated
09/05/2024
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