Individual
JOHN DENNIS O BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 N 12TH ST, SUITE 100, OSKALOOSA, IA 52577-2495
(641) 672-3360
(641) 672-3366
Mailing address
410 N 12TH ST, SUITE 100, OSKALOOSA, IA 52577-2495
(641) 672-3360
(641) 672-3366
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29352
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097964
—
IA
01
—
42068106028
JOHN DEERE HEALTH
IA
01
—
51223
WELLMARK, INC BCBS OF IOW
IA
01
—
62769
IOWA HEALTH SOLUTIONS
IA
01
—
G005
TRIWEST
IA
Enumeration date
09/19/2005
Last updated
12/05/2012
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