Individual
O'CONNELL CALEB PENROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050A 2ND ST SE, ALBUQUERQUE, NM 87117-5522
(843) 996-9027
Mailing address
2050A 2ND ST SE, ALBUQUERQUE, NM 87117-5522
(843) 996-9027
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
2026032184
MO
171000000X
Military Health Care Provider
Primary
—
—
207Q00000X
Family Medicine Physician
Primary
0116038961
VA
207R00000X
Internal Medicine Physician
Primary
14865
GA
208D00000X
General Practice Physician
Primary
2026032184
MO
Other
Enumeration date
06/28/2023
Last updated
07/15/2026
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