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Individual

PATRICK O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 544-9000
(865) 539-8008
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD18573
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3849900
TN
01
4067196
BCBS OF TENNESSEE
TN
05
64315849
KY
01
P00308702
RAILROAD MEDICARE
TN
Enumeration date
06/27/2006
Last updated
11/15/2007
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