Individual
MARK E O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(904) 953-2150
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(904) 953-2150
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R73366
AZ
Other
Enumeration date
07/05/2012
Last updated
07/16/2012
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