Organization
DANVILLE PULMONARY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J O'NEILL M.D. (PRESIDENT)
(434) 792-4378
Entity
Organization
Contact information
Practice address
159 EXECUTIVE DR, SUITE F, DANVILLE, VA 24541-4160
(434) 792-4378
Mailing address
159 EXECUTIVE DR, SUITE F, DANVILLE, VA 24541-4160
(434) 792-4378
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01405
BCBS NC GROUP
NC
05
—
8901405
—
NC
Enumeration date
07/05/2006
Last updated
08/22/2020
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