Individual
DR. RICHARD J. O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 DIVISADERO ST, SAN FRANCISCO, CA 94115-3010
(415) 885-3800
(415) 885-3802
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G83264
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G832640
—
CA
Enumeration date
05/30/2006
Last updated
07/08/2008
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