Individual
RICHARD DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3619 RICHARDSON SQUARE DR, ARNOLD, MO 63010-6022
(314) 434-8174
(636) 464-6755
Mailing address
3619 RICHARDSON SQUARE DR, ARNOLD, MO 63010-6022
(314) 434-8174
(636) 464-6755
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2012032941
MO
Other
Enumeration date
11/01/2006
Last updated
03/15/2017
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