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Contact Information

JOHN J OCONNOR, MD
3109 CLEARWATER DRIVE
STE A
PRESCOTT, AZ86305
 Phone: 928-778-1066
 Fax: 928-778-7270
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for JOHN J OCONNOR · (Male)

NPI Number 1437157203
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2005
Last updated 09/03/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 25148
  • AZ Medicaid 379877
Hospital affiliation(s)
  • YAVAPAI REGIONAL MEDICAL CENTER - (Acute Care)
    1003 WILLOW CREEK ROAD
    PRESCOTT, AZ 86301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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