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Organization

ERIE OSTEOPATHIC MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN THOMAS O'DONNELL DO (PRINCIPAL)
(814) 722-6062
Entity
Organization

Contact information

Practice address
2115 W 38TH ST, ERIE, PA 16508-1925
(814) 504-2926
Mailing address
2115 W 38TH ST, ERIE, PA 16508-1925
(814) 722-6062
(814) 923-4111

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
09/24/2020
Last updated
01/10/2021
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