Individual
THERESA M. O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2030 BLUEGRASS CIR, CHEYENNE, WY 82009-7328
(307) 635-3500
(307) 635-4642
Mailing address
2030 BLUEGRASS CIR, CHEYENNE, WY 82009-7328
(307) 635-3500
(307) 635-4642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8775A
WY
Other
Enumeration date
01/08/2007
Last updated
11/02/2011
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