Individual
BRIAN FRANCIS O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4941
(757) 967-8622
(757) 686-0541
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 967-8622
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101055061
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00322114
—
VA
01
—
110128694
RAILROAD MEDICARE
VA
Enumeration date
06/20/2005
Last updated
07/21/2022
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