Individual
PATRICK G. O'DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-3452
(513) 862-3421
Mailing address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-3452
(513) 862-3421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26547
KY
208M00000X
Hospitalist Physician
Primary
35127554
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64265473
—
KY
Enumeration date
07/11/2006
Last updated
08/12/2019
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