person
Dr. Ruth S Oconnor, MD
General Practice Physician in West Lafayette, Indiana
NPI 1093702839

Ruth S Oconnor is a General Practice Physician based in West Lafayette, IN. Ruth S Oconnor practices in West Lafayette, IN and has the professional credentials of MD. The NPI Number for Ruth S Oconnor is 1093702839 and holds a License No. 01036992A (Indiana).

The current practice location address for Ruth S Oconnor is 601 Stadium Mall Dr, West Lafayette, IN and can be reached out via phone at 765-494-1700 and via fax at 765-496-1227.

Location: 601 Stadium Mall Dr, West Lafayette, IN, 47907-2052
person
Provider Profile Details
NPI Number
1093702839
Provider Name
Ruth S Oconnor
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
601 Stadium Mall Dr, West Lafayette, IN, 47907-2052
Phone Number
765-494-1700
Fax Number
765-496-1227
Provider Enumeration Date
10/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
92636 01 GEISINGER HEALTH PLAN
000000184486 01 ANTHEM BLUE CROSS BLUE SH
institution
Provider Business Practice Location Address Details
Address
601 Stadium Mall Dr
City
State
Zip
47907-2052
Phone Number
765-494-1700
Fax Number
765-496-1227
person
Provider Business Mailing Address Details
Address
601 Stadium Mall Dr
City
State
Zip
47907-2052
Phone Number
765-494-1700
Fax Number
765-496-1227
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
01036992A (Indiana)
Definition
Definition to come...
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