| G Patrick O'donnell M.D. | |
|
15510 Olive Blvd Suite 115 Chesterfield MO 63017-0710 | |
| (636) 537-2702 | |
| Not Available |
| Full Name | G Patrick O'donnell M.D. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 15510 Olive Blvd, Chesterfield, Missouri |
| Authorized Official Name and Position | Glenn Patrick O'donnell (OWNER) |
| Authorized Official Contact | 6365372702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G Patrick O'donnell M.D. 15510 Olive Blvd Suite 115 Chesterfield MO 63017-0710 Ph: (636) 537-2702 | G Patrick O'donnell M.D. 15510 Olive Blvd Suite 115 Chesterfield MO 63017-0710 Ph: (636) 537-2702 |
| NPI Number | 1811160914 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811160914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MDR5B99 (Missouri) | Primary |
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