Individual
PATRICK O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 W MAIN ST, FREDERICKTOWN, MO 63645-1111
(573) 783-3341
(573) 783-1096
Mailing address
611 W MAIN ST, FREDERICKTOWN, MO 63645-1111
(573) 783-3341
(573) 783-1096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
110421
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204647903
—
MO
Enumeration date
08/23/2006
Last updated
03/01/2021
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