Provider Demographics
NPI:1487087615
Name:O'CONNOR, BRIAN P II (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:P
Last Name:O'CONNOR
Suffix:II
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:1450 TREAT BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-2168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1220 ROSSMOOR PARKWAY
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94595-2501
Practice Address - Country:US
Practice Address - Phone:925-947-3312
Practice Address - Fax:925-947-3396
Is Sole Proprietor?:No
Enumeration Date:2013-08-12
Last Update Date:2016-09-07
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Provider Licenses
StateLicense IDTaxonomies
CAA131848207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA390200000XMedicaid