Individual
JOHN JOSEPH O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038319
GA
2083A0100X
Aerospace Medicine Physician
038319
GA
Other
Enumeration date
07/26/2006
Last updated
05/01/2019
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