Organization
G PATRICK O'DONNELL M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN PATRICK O'DONNELL M.D. (OWNER)
(636) 537-2702
Entity
Organization
Contact information
Practice address
15510 OLIVE BLVD, SUITE 115, CHESTERFIELD, MO 63017-0710
(636) 537-2702
Mailing address
15510 OLIVE BLVD, SUITE 115, CHESTERFIELD, MO 63017-0710
(636) 537-2702
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MDR5B99
MO
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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