| Doctor Name: | EDWARD O'BRIEN |
| NPI Number: | 1174527584 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 03604249 |
| Business Practice Address: | 9930 Watson Rd Saint Louis, MO - 631261827 |
| Business Phone Number: | 3149848827 |
| Business Fax Number: | 3149840736 |
| Mailing Address: | Po Box 23340, SAINT LOUIS |
| State: | MO |
| Postal Code: | 631563340 |
| Phone Number: | 3148511000 |
| Fax Number: | 3148514477 |
| NPI Enumeration Date: | 06/13/2005 |
| NPI Last Update Date: | 07/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 03604249 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |