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Individual

DANIEL P O'DONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 630-7276
(317) 656-4216
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01060975A
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
01060975A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000661190
ANTHEM PTAN
IN
01
000001320413
ANTHEM PTAN
IN
01
000001321146
ANTHEM PTAN
IN
05
200860810
IN
Enumeration date
05/22/2007
Last updated
03/25/2025
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