Provider Demographics
NPI:1740269646
Name:O'BRIEN, DAVID MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:O'BRIEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6500 S. MACARTHUR BLVD
Mailing Address - Street 2:CIVIL AEROSPACE MEDICINE INSTITUTE, BLDG 13 AAM-300
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73169
Mailing Address - Country:US
Mailing Address - Phone:405-954-8097
Mailing Address - Fax:757-225-4711
Practice Address - Street 1:6500 S. MACARTHUR BLVD
Practice Address - Street 2:BLDG 13 AAM-300
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73169
Practice Address - Country:US
Practice Address - Phone:405-954-8097
Practice Address - Fax:757-225-4711
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2018-03-01
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Provider Licenses
StateLicense IDTaxonomies
AZ186622083X0100X, 2083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLVAD000Medicare UPIN