Provider Demographics
NPI:1063406759
Name:O'NEILL, CHRISTOPHER P (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:P
Last Name:O'NEILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1925 W ORANGE GROVE RD STE 302
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1152
Mailing Address - Country:US
Mailing Address - Phone:520-955-8790
Mailing Address - Fax:520-797-2196
Practice Address - Street 1:1925 W ORANGE GROVE RD STE 302
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1152
Practice Address - Country:US
Practice Address - Phone:520-955-8790
Practice Address - Fax:520-797-2196
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ26178207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZG24505Medicare UPIN
AZ22443Medicare ID - Type Unspecified