Individual
DR. PATRICK W. ONEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2287
(573) 302-2241
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065-1500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2000160538
MO
208M00000X
Hospitalist Physician
Primary
2000160538
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135570020
MEDICARE PTAN
MO
01
—
1508997636
NPI
MO
05
—
245032206
—
MO
01
—
P00780871
RR MEDICARE
MO
Enumeration date
03/08/2007
Last updated
06/27/2016
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