Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | A139841 | CA |
NPI | 1003227760 |
---|---|
Provider Name | Dr. Morgan O'connor |
First Address | Granite Bay, CA 95746-5902 |
Second Address | Roseville, CA 95661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2014 |
Last Update Date | 02/12/2019 |