Individual
PETER JOHN O'ROURKE
Active
Individual
PETER JOHN O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9601686
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000Q
BCBS
NC
01
—
188160
MEDCOST
NC
01
—
1922168152
TRICARE
NC
05
—
891000Q
—
NC
01
—
P00365810
RAILROAD MEDICARE
NC
Enumeration date
12/11/2006
Last updated
04/08/2021
Update your record
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