Individual
DR. MICHAEL P. O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5575 KIETZKE LN, RENO, NV 89511-2290
(775) 851-1505
(775) 851-1583
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(775) 851-1505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14263
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12396215
CAQH
—
01
—
1598907453
NPI
—
Enumeration date
03/24/2009
Last updated
05/08/2018
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