Individual
JAMES E O'BRYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D., M.D.
Contact information
Practice address
898 BEAVER DR, DU BOIS, PA 15801-2512
(814) 371-3980
(814) 371-8317
Mailing address
898 BEAVER DR, DU BOIS, PA 15801-2512
(814) 371-3980
(814) 371-8317
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG000605
PA
207Q00000X
Family Medicine Physician
Primary
MD428662
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009964680007
—
PA
Enumeration date
12/30/2005
Last updated
05/30/2008
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