Individual
JUDITH ANN O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N PHILLIPS AVE STE 14400, OKLAHOMA CITY, OK 73104-4600
(405) 271-5312
(405) 271-1151
Mailing address
1200 N PHILLIPS AVE STE 14400, OKLAHOMA CITY, OK 73104-4600
(405) 271-5312
(405) 271-1151
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00045522
WA
2080P0206X
Pediatric Gastroenterology Physician
Primary
28114
OK
2080P0206X
Pediatric Gastroenterology Physician
E5409
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659580001
—
AR
05
—
8437717
—
WA
Enumeration date
06/08/2006
Last updated
10/13/2014
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