Individual
DR. JAMES ALLEN O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1830 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4275
(970) 945-8503
(970) 947-9048
Mailing address
PO BOX 190, GLENWOOD SPRINGS, CO 81602-0190
(970) 379-1586
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
21798
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01217983
—
CO
01
—
COAAA1927
MEDICARE ID
CO
Enumeration date
05/26/2006
Last updated
07/14/2016
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