NPI 1013170695

Brendan O'Neill, MD

Practitioner Dermatology Physician Flagstaff, AZ

Practice location

Address: 1490 N Turquoise Dr, Flagstaff, AZ 86001-1383
Phone: (928) 774-5074
Fax: (928) 779-0884

Registered specialties (5)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 49416 (AZ)

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Registry record

NPI: 1013170695
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2008
Record last updated: 22 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.