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Individual

DR. MATTHEW L OCONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
979 CONGRESS PARK DRIVE, CENTERVILLE, OH 45459-4009
(937) 435-9013
(937) 435-9013
Mailing address
7700 WASHINGTON VILLAGE DR STE 260, DAYTON, OH 45459-4097
(937) 435-9013
(937) 435-1458

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35056112O
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0747375
OH
Enumeration date
04/18/2006
Last updated
01/07/2021
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