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NPI Code Detail

MEDICARE: MISS ALFRED G O'BRIEN PA-C

MEDICARE: MISS ALFRED G O'BRIEN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant30MT

General Provider Information

NPI Number : 1801994504
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ALFRED G O'BRIEN PA-C
Provider Business Mailing Address
First Line : 445 CENTENNIAL AVE
Second Line :
City : BUTTE
State : MT
Zip : 59701-2870
Country : US
Telephone Number : 406-723-4075
Fax Number :
Provider Business Practice Location Address
First Line : 445 CENTENNIAL AVE
Second Line :
City : BUTTE
State : MT
Zip : 59701-2870
Country : US
Telephone Number : 406-723-4075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

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1588655088 — JENNIFER MARIE MIRANDA PHARM D.
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1841259330 — DR. TAMMY A COX PHARMD
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1841215167 — DR. SCOTT CORDELL OLSEN D.D.S.
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Directions to “ MISS ALFRED G O'BRIEN PA-C” Practice Location

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