MR. Brian Karl O'bannon, PA-C, FNP

NPI #1184612483 in Oakdale, California

Provider Information

NPI Number: 1184612483
Entity Type: Individual
Name: MR. Brian Karl O'bannon, PA-C, FNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, FNP
Enumeration Date: Oct 11, 2005
Last Updated: Dec 30, 2021

Practice Location

Address: 350 S OAK AVE
City: Oakdale
State: California
ZIP Code: 95361-3519
Phone: (209) 847-3011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Nurse Practitioner	363L00000X
Nurse Practitioner - Family — Family	363LF0000X
Physician Assistant	363A00000X	Primary

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