Individual
CONNIE M O'CONNOR
Active
Individual
CONNIE M O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00044929
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000917190
BLUE CROSS-SHIELD OF MONTANA CENTER FOR MENTAL HEALTH
MT
01
—
P01205491 C01340
RAILROAD MEDICARE FOR C4MH
MT
Enumeration date
08/23/2006
Last updated
09/30/2013
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