Individual
BRIAN PAUL O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPED
Contact information
Practice address
932 W SOUTHERN AVE STE 7, MESA, AZ 85210-4972
(480) 461-1940
(480) 461-3855
Mailing address
7127 E JACOB AVE, MESA, AZ 85209-4027
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPED2705
AZ
224L00000X
Pedorthist
Primary
CPED2705
AZ
224P00000X
Prosthetist
CPED2705
AZ
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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