Individual
DANIEL ABODEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9930 WATSON RD, SAINT LOUIS, MO 63126-1827
(314) 984-8827
(314) 984-0736
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 984-8827
(314) 984-0736
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34620
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010593
ESSENCE
MO
01
—
144352
BCBS
MO
01
—
1600797
UHC
MO
05
—
200258010
—
MO
01
—
206589
HEALTHLINK
MO
01
—
5206V34311
HEALTHCARE USA
MO
01
—
5872678
AETNA
MO
01
—
65413
GHP
MO
01
—
A12785
MERCY MC PL
MO
Enumeration date
11/04/2005
Last updated
01/21/2010
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