Individual
DR. COLLEEN F. O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
609 E GIBSON ST, COVINGTON, LA 70433-2980
(985) 809-3860
Mailing address
10044 JUDY DR, RIVER RIDGE, LA 70123-1463
(504) 737-0411
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
052926
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1576263
—
LA
Enumeration date
09/20/2006
Last updated
07/08/2007
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