Individual
PAT D O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST # 540, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
4301 W MARKHAM ST # 540, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036112655
IL
208800000X
Urology Physician
Primary
C-4788
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112655
—
IL
05
—
105046001
—
AR
Enumeration date
09/23/2005
Last updated
03/09/2009
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