Individual
DR. MICHAEL W OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 AIRPARK DR, STE 301, REDDING, CA 96001-2449
(530) 252-3500
(530) 242-3546
Mailing address
3400 DATA DR, PHYSICIAN SUPPORT SERVICES - 2ND FL, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G77660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19523682228
—
CA
Enumeration date
11/14/2005
Last updated
02/10/2015
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