Individual
BRIAN D O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2 EMBARCADERO CTR LBBY LEVEL, SAN FRANCISCO, CA 94111-3823
(888) 663-6331
(415) 252-7176
Mailing address
11130 E CHOLLA ST BLDG 1, SCOTTSDALE, AZ 85259-3922
(480) 882-7520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
51380
CA
363A00000X
Physician Assistant
988
MA
363AM0700X
Medical Physician Assistant
988
MA
Other
Enumeration date
04/19/2006
Last updated
03/17/2025
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