Provider Demographics
NPI:1225077043
Name:O'NEAL, ROBIN DONALD (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:DONALD
Last Name:O'NEAL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8560 E 22ND ST
Mailing Address - Street 2:STE 100
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-6537
Mailing Address - Country:US
Mailing Address - Phone:520-886-4216
Mailing Address - Fax:520-298-9693
Practice Address - Street 1:8560 E 22ND ST
Practice Address - Street 2:STE 100
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-6537
Practice Address - Country:US
Practice Address - Phone:520-886-4216
Practice Address - Fax:520-298-9693
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3509111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZT41999Medicare UPIN