Individual
JOHN BASINGER O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6981 LITTLEROCK RD SW, SUITE 101, TUMWATER, WA 98512-7226
(360) 943-3633
(960) 528-4643
Mailing address
924 CENTRAL ST NE, OLYMPIA, WA 98506-4408
(360) 773-6805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003178
WA
Other
Enumeration date
07/08/2008
Last updated
01/31/2012
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