Individual
MARK EDWARD O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2100 THRESHER AVE, SILVERDALE, WA 98315-2103
(360) 396-4206
Mailing address
2100 THRESHER AVE, SLIVERDALE, WA 98315
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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