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Patrick William O'connor
Military Health Care Provider in Portsmouth, Virginia
NPI 1366037665

Patrick William O'connor is a Military Health Care Provider based in Virginia Beach, VA. Patrick William O'connor practices in Portsmouth, VA. The NPI Number for Patrick William O'connor is 1366037665 and holds a License No. (Virginia).

The current practice location address for Patrick William O'connor is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 703-855-7239.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 23462-4769
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366037665
Provider Name
Patrick William O'connor
Credential
Provider Entity Type
Individual
Gender
Male
Address
620 John Paul Jones Cir, Portsmouth, VA, 23462-4769
Phone Number
703-855-7239
Fax Number
Provider Enumeration Date
03/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
620 John Paul Jones Cir
City
Portsmouth
State
Virginia
Zip
23708-2111
Phone Number
703-855-7239
Fax Number
person
Provider Business Mailing Address Details
Address
620 John Paul Jones Cir
City
Portsmouth
State
Virginia
Zip
23708-2111
Phone Number
703-855-7239
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
0101276494 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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